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s <br /> Total Fee: $ ��i��a<� ' �'� � Date Received: ��^� "� <br /> Entered By: �� Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION'S /� <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: ��3 s' �;,/,ry f7/'. ZIP: �`S3S�c <br /> �r�y L.���t' <br /> Will this be a arade of Homes, Remodelers SKowcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events tivill not be allowed. <br /> v; r <br /> NAME OF OWNER: f��qJ�D f �u��( �c�A�z� PHONE: (home) iS�. -y73��041f� <br /> � �u (work) <br /> 5. � MAILING ADDRESS: !'1/ ��"" C'oL,n l�r CITY: ���c �l�� ZIP: S-S3 SG <br /> � �, <br /> lw �v CONTRACTOR: /r,��,�y �t,/T PHONE: y S,� �s�,�-g�7� <br /> �� � CONTACT PERSON: jo,K 7rr�.�y MOBILE/PAGER: �/�. - ,�s o -O�S� <br /> ly� � V, MAILING ADDRESS: 35/O ��� r S i. CITY: �,-t� l.,N � ZIP: s-� � <br /> w �v� STATE LICENSE: #_ 7�i�" EXPIRATION D�TE: ? �- �/ - p � <br /> Z � ,,____•,-_. <br /> � ^ � ARCHITECT NGINEE ,�p'Nrr�y ��/,�1� PHONE: l�i� - 378- o3s3 <br /> R MAILING ADDRESS: �/l�, 1�r�+n,�D,� A��'. F, CITY: /►�1 P,CQ", ZIP: S S�i!/f� <br /> � � NAME: �,F'C/�, S T�'u c' 7" �r'e�t REGISTRATION: # �j p y-/ <br /> „ TYPE OF WORK: New Home Addition �_ Accessory Structure <br /> � <br /> 1 Move Home Remodel/Alteration (ie: Siding, Windows) _ <br /> f` � Any earth movement may require MCWD review and permits! <br /> �' � PROPOSED WORK describe in detai : `—A � + // <br /> � � �r s � n /r � C FF v !� �' Sc��or /�o /'( <br /> RC'9 k,l c�� fi�t"'c.i l�/�hl i L si rC�c:�c:�tl �IEr �C'f/c'r, /�l S AM /��C•� <br /> _ i <br /> � � <br /> �Y, STORIES: � SQ.FEET OF EACH FLOOR: � <br /> � � NO. OF BEDROOMS: _(L GARAGE STALLS: ATTACHED DETACHED_ <br /> � <br /> �K ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �S c�0 U <br /> ` <br /> �9 <br /> I hereby apply for a building permit and I acknowledge that the information 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 will be <br /> in accordance with the approved plan. --- <br /> APPLICANT'S SIGNATURE: , �� --�_ DATE: �'.�� - O) <br />