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` ' . -��--� ��� <br /> �� ^5� � <br /> . . . -� <br /> Total Fee: $ � 7 � �,Z`�� Date Received: L—YI�j'�l�D�l L��� <br /> Entered By: �,�1�y1� Permit#: /-�-I 1 l0 8 <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 inf'ormation) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �i�3� (',-,����t^`��e�_ �-1 - ZIP: �S.SSC <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS � NO Ifyes, a special event permit is reqa�ired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be requrred unless applicant demons/rates <br /> sirJJicient on-site parking is availahle. Non-permitted events will not be allox�ed. <br /> NAMEOFOWNER: ���(�;n ,�I�U�� PHONE: (home) — <br /> (work) — <br /> MAILINGADDRESS: %(�,:i$� ('�n«}rc��� s1 CITY: r1�'�•��- ZIP: <br /> CONTRACTOR: �-{c:���..�C���� 2c>no��i..��� � PHONE: �'jsZ �ill-I���y <br /> CONTACT PERSON: �,-,;� t�r-tr�-�e�e f MOBILE/PAGER: �;�Z�Zz.l- Z3�`f <br /> MAILINGADDRESS: �� ��.i ���,yz����. �il��..� _ C1TY: rt�;.��e�`�<<• ZIP: Ss�+z� <br /> � <br /> STATE LICENSE: # .zo;-3y,S��f� EXPIRATION DATE: 3/.ri/z�_^; <br /> ARCHITECT/ENGINEER: ;}„���oc1�. PHONE: ;s z-����-os�-i <br /> MAILINGADDRESS: 7'-iul U=�vz���_ �1�.� . CITY: /Y�.nrn�•.�i�•, ZIP: "s'`I <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 /> PROPOSED WORK(describe in detai�: ��r,-��,��� 1.���ch��. / �•�e�, l`�r._.r�c r —� <br /> (\`.,lS �t��h� Z,. �t�:0 QoorS <br /> i�� <br /> STORIES: Z SQ.FEET OF EACH FLOOR: -- <br /> NO. OF BEDROOMS: — GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,S� �OC' <br /> I hereby apply for a building permit and I acknowledge that the information above is complcte and accurate; <br /> that the work will be in conformance with th�ordinanccs 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 /> ,,. . �,. <br /> , �-- _ _ <br /> APPLICANT'S SIGNATURE: -.-: . �t, W ' DATE: �a////6 i <br /> 31 <br />