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L <br /> 'i E � <br /> ;' � <br /> Total Fee: ' -�, ..• `���� DateReceived: //-�`�� �t--�� ' <br /> Entered By: .__� �_ � Permit#: �U5 Lp �`) <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all r�nformatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> `����'"`7 <br /> �.�; �� ,,; -, <br /> JOB SITE ADDRESS: '��9' � ts 1,��►v� C�v� zlr: s5 3�C 1 <br /> Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specral event permit is r•eqarirecll�vith Police Departnrent and Crty Coz�ncil approval <br /> 60 clays prior to the event. Shutt(e bz�s service will be reqzrireci iinless app/icant denrorrstrates <br /> sufficient o»-site par/cif�g is availab/e. R�on-per��ritted events rvrll not be allorvecl. <br /> NAME OI'OWN�R: �O j��� `'-��5��1 N� �o PHONE: (home) <br /> (worl<)5 S Z-�-1 7 I - �i � �j <br /> MAILING ADDRESS: �L?'� � �31�,( N� ��ITY: o��c� zIP: 5 S�`�' 1 <br /> CONTRAC'TOR: ��`�Z\j7(��(�c�'\ �=-1� G��� (`,, PHONE: C��Z-�\`�—��jZ� <br /> CONTACT P�RSON: �2,� �i1Z S��`��IJMOBILE/PAGER: C-� t Z--�\�— ����j <br /> MAILING ADDRESS: �-(0� � (i.J����� CITY: ��Q\ZJ� ZIP: �� z-( � (o <br /> STATE LICENSE: #Z�� 8 �� �'j EXPIRATION DATE: 3 =�/— �7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <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 /> P�Z�P�SFT��I���(fl�sce�ibe dea cdetceal�: ��.�k-�,�C7V i,� G l�� l� �G(�. � <br /> C��l ��7 ���v�-1 ��� <br /> STORIES: SQ.FF,ET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED llETACH�ll <br /> o� <br /> ESTIMATED CONSTRUCTION VALUATION(e�cluding land): $ � , � c�c� _ <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and acc�u�ate; <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�vork is not to start without a pennit;and that The�vork will be <br /> in accordance with the approved plan. , <br /> APPLICANT'S SIGNATURE: DATE: � �—I ��� <br /> i <br /> 31 <br /> i <br /> ;:';il. <br />