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t ' i A( � �f , !, <br /> (1��. <br /> ri J , <br /> �� <br /> Total Fee: $ �� � ' � �� ,�� ��`�i Date Received: � )� � <br /> Entered By: � �,� - '� � Permit#: � ) �g�0 <br /> � <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 information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: 2 G Sv ���„�,��i�_�i�_ z�p: 55 3 5G <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Department and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER:�( p�3� ���j2,Gg�.�C,p�.� PHONE: (home) S -415" ��v�4 <br /> (work) <br /> MAILING ADDRESS: �, O . ��TY:�, �Ip ZIP: !is�jSG <br /> CONTRACTOR: � �����I '�� -�' - �f�'�j�� P�ONE: `�52 -��]- �'f9GC? <br /> CONTACT PERSO : � ' MOBILE/PAGER: (�I1�70'�3 - <br /> MAILING ADDRESS: ��(U CN'C�c�L��� �2,,�IL LU. CITY:�1��iZA�R,�� ZIP: ss 3y4 <br /> STATE LICENSE: # Zp21�S15� EXPIRATION DATE:��� <br /> ARCHITECT/ENGINEER: ���,�..�y ,/�j1_(�l�-I . PHONE: (P11-�p�'Jl- �Sb <br /> MAILINGADDRESS: 2�2 ��a� j��,�CITY:,j�j„�,4�.y_�S ZIP: �S�o/ <br /> NAME: i M �,����t REGISTRATION: # <br /> TYPE OF WORK: New Home Addition C Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may requirejMCWD review and permits! <br /> PROPOSED WORK(describe in detai�: `�MA�I. � Il, ����uo�l c� <br /> '�X 1L;T7�•i(� l-v�] ►�.�M <br /> STORIES: I SQ.FEET OF EACH FLOOR: Z�� <br /> NO. OF BEDROOMS: -- GARAGE STALLS: ATTACHED — DETACHED— <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ c�U �� <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: 3 <br /> 31 <br /> ,- . � - <br />