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� a� �'� <br /> Total Fee: $ ����•8� Date Received: 8 a � 7 <br /> Entered By: Permit#: /� g <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print al/inforination) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: Z 5`t c� C�1S cc� P���•r 2c.rt� Zjp; S S 3`�( <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO l��yes, a special el•ent per•i�irt is r•eqirir�ed l+�ith Police Department and City C'or�ncil approral <br /> 60 days prior to ihe ereni. Shirttle hirs ser�•ice iril/be reyuired i�nless applican�demonstrates <br /> sz��czen!on-site parking is m�arlable. :�'on-perniitted erents irill no�be a!loirecf. <br /> NAME OF OWNER: S 1 til F3 t,c i 7S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: Ot.,.Yn�Pcc P���S PHONE: q52-`{y�'7779 <br /> CONTACT PERSON: ��v�N f3►tK.FtT r MOBILE/PAGER: �5 Z- 37Y-7Z Z 7 <br /> MAILING ADDRESS: i35 RT w''�'� ST" 5� CITY: ${(AKtipG�t_ ZIP: SS 3 1`j <br /> STATE LICENSE: # Zv�{5�Z 3q EXPIRATION DATE: 3 I3 t �Zv�g <br /> ARCHITECT/EN(:i�v��" ' .N l�t 5!6N PHONE: Z63-5`f�{- �f ZcS <br /> MAILING �� ��e , G,a �° S/w- R� N CITY: G�OO� �IP: 55�(27 <br /> NAME: C 1'����-' � r� REGISTRATION: # <br /> — ��� ;/�„ ,„ ?:� , <br /> _, �, �. <br /> �_ ��� �� , <br /> TYPE OF � �SZ-�-1H5� ,,. Addition Accessory Structure X - FbzL <br /> � . , f��'��� Remodel/Alteration (ie: Siding, Windows) <br /> � , , � <br /> zt may require MCWD review and permits! <br /> PROPOSED A-�'S?K�-sttr�iv ri�=' �4 l7 K iG U!N'YL <br /> G.r�2. P� rt U Tz�ct rFt-�c c�c��:�Z <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 5 � ��� �' <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work wil I be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: S - Z 3-G 7 <br /> il <br />