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, . �^�b <br /> � � <br /> Total Fee: $ �J�•�D�J DateReceived:� �� <br /> Entered By: Permit#: 3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan re��iew will be started. <br /> (please print all information) � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: �/ �S Co�i n ��/ �orr� �/f�e ZIP: S�S 3.5� <br /> Will this be �de of Homes, Remodelers Showcase Home or other llisplay Home? <br /> ❑ Yes No If yes, a special event pe��mit is��equired with Police Department and City 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 will not be allowed. <br /> r <br /> NAME OF OWNER: ��/�D � L� c�/ ��E2Q.�u PHONE: (home) /�/ � - ��/� ' <br /> � (work) 3� 7� <br /> MAILING ADDRESS: SA�'1�° CITY: ZIP: <br /> CONTRACTOR: /�,Q,es/ $k,�T PHONE: ��� -QSp -v�,q � <br /> CONTACT PERSON: ja,�.i 71����/ MOBILE/PAGER: <br /> MAILING ADDRESS: 3 Y� �e.s+--� ST CITY: p,eo-y,c� ZIP: �'"S-3S` <br /> STATE LICENSE: # �g�� EXPIRATION DATE: �_ 3� - p g <br /> ARCHITECT/ENGINEER: /1/ort e PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Sidinb, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(desc�•ibein detai�: f� ,(��Ql�,o ���� -�ra,�,t �,Q�y i,�,�r � <br /> l0 X /� ' Ta � D ' X / c� ' 1n x�a �i��i P�F �ri'.�ri T �'-` �//S~�/� <br /> /o -/ 7--07 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> OJ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�QOr (i v�'I A L � S�U c� <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 wark is not to start without a permit;and that the work will be <br /> in accordance withthe approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: DATE: � — a f- v g <br /> i <br /> 31 <br />