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I� '� <br /> Total Fee: $ ��� DateReceived: � ���� � <br /> Entered By: � Permit#: �- � � (�'(�`�j <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all info��mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ciYcle one) OWNER OR ONTRACTO <br /> ys 39 � <br /> JOB SITE ADDRESS: � �6 �� �'v y Ch� '�� �t� ZIP: <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a specia/event pernzit is reqzrired tinith Police Depar•triie��t and City Coarncil approva] <br /> GO days p�•ia�to tl�e event. Shaittle bars ser•vice�vill be regarired un/ess applicant demonstrates <br /> su�cient on-site par�Icing is available. Non pe�-mitted events ivill not be allori�ed. <br /> NAME OF OWNER: K/t✓�rr � _S �O���S G�'� PHONE: (home)�I 5 � ���b � by�D <br /> ✓ �y. , (work) <br /> MAILINGADDRESS: �//� � C �-��/ �� k'le CITY: d���� U ZIP: ✓��.3 � <br /> CONTRACTOR: ��v;s 7���;� CG°�c���f� PHONE: 7S�—�3 i —YGD 2 <br /> CONTACT PERSON: ��e MOBILE/PAGER: <br /> ,� .� <br /> MAILINGADDRESS: �('j,3 /, �{i/qh� G.� o�( CITY: d%o�.r. ZIP: 5��'7 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> J�h� � ��� e:-, <br /> ARCHITECT/ENGINEER: /yIa�sa� /y/ c���r N����uJ�IONE: 6�a — ��7— ��a? S <br /> MAILING ADDRESS: `JD/ [':-eeti tiJ�'h e r-r� CITY. `� / ZIP: .r S1/OJ <br /> NAME: �'J��i� *,",'��P h. REGISTRA ION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe i�t detain: <br /> e,/✓1�G r_-e -�a� �-� /o,,:� <br /> STORIES: � wg�� o��SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): ��3'/G, �v�4 =� <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that the�vork�vill be in conformance ���ith the ordinances and codes of the City and with the State Building <br /> Code; that I understand this is ilot a permit and«ork is not to start without a permit;and that the��-ork will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: S"�..S 'D � <br /> 31 <br />