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' p� <br /> 1� <br /> ti� <br /> 'd'otal Fee: $ a 7� /.d q Date Received: �) � C� <br /> Entered By: Permit#: ,� �'I� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circ[e one) OWNER OR CONTRACTOR <br /> JOB siTE ann�ss: �� 3 v �s���,�, C,��r (�" �v� (AJ. ziP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO /f yes, a special event permit is required with Police Uepartment and Ciry Council approval <br /> 60 days prior to the event. Shutt/e bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events wi!!not be allowed. <br /> NAME OF OWNER:�� f �p'►�-��� �j�y�� PHONE: (home) 7'�ls'33/g <br /> MAILING ADDRESS: �G�iDCCk.�1-RyS�T� Li .��J,CITY: (�c,�) (WoZIP: 55356 <br /> I, � _- �? <br /> CONTRACTOR: "vGZ�� � VlL� PHONE:(�SZ����4'�ICL <br /> CONTACT PERSON: MOBILE/PAGER: /L f 7�Y,- � <br /> MAILING ADDRESS: �p�aC�'(��..kj,. CITY:�����ZIP: '� <br /> STATE LICENSE: # $�•?p3(„rjj$�_ EXPIRATION DATE: g/����7 <br /> ARCHITECT/ENGINEER: (Jf R PHONE: (PI2- 87a-z 538 <br /> MAILING ADDRESS:,'�$?�j/N����T ����S, CITY:/(��j�;v� ZIP: �ssyo4 <br /> NAME: ����vt.r� 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 detain:�3 CJ►,� (a►,Q1.A(,���j�1��'1 A� <br /> �T <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: --d GARAGE STALLS: ATTACHEIY�� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �f�C,�J <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 1 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 /> 1 <br /> APPLICANT'S SIGNATURE: ��1� DATE: 7 7 <br /> 31 <br />