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�� r^ <br /> ` �,���K/ <br /> Total Fee: $ �aa� o� DateReceived: �O-J��-��o <br /> Entered By: Permit#: a99SD <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print all i�ifor�nzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle o��e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 0�7�D C���-� l� zIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No !f yes, a special event pern�it is reqa�ired lvit/v Police Depn�•tnae��t and Cin%Council approval <br /> 60 days prior to tl�e event. Shuttle bus service will be regzrired unless applicant den�onstrates <br /> sc fficient on-srte parhing is available. 1Von-pe��r�iitted events�vrll i�ot be allowed <br /> NAME OF OWNER j�� �/�-(-�,Z c�SK� PHONE: (home)R Z.-`f ' "" �4�/� <br /> (work)�IZ--�C'i3�--,�"'�7_j <br /> MAILING ADDRESS: Z?Cuc� c:c;�PCy? �/.��eCITY: �i{�'G�Q ZIP: SS�.� <br /> CONTRACTOR: ��T-� �1. F'!5�- PHONE: C'�2,-3�`�!-3 7/�' <br /> CONTACT PERSON: RCS S �.=�'�'.+=�`c5�%(/ MOBILE/PAGER: �'I 2 3�'y�-�7�� <br /> MAILINGADDRESS: C�(S' �/hy//,'Zs'�rT,� x3Li-'�• CITY: �j;lC",�{��'tLIP: 5S�f2�-' <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition ,(Accessory Structure PL��� - <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descf•ibe in detai�: �G�C }�}' S�=/..;��J'7?'�E PGt=� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACH�D <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ i `j y v u��' ,�, (/� s� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate� <br /> that the work will be in confonnance 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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �--�—�-�� �ATE: � ✓� G"C° <br /> � r <br /> � � Y�� ' <br /> � 05� >> <br /> � <br />