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� ,f�, AI /�v/V_ <br /> V_ � <br /> � n O � <br /> U I V I 1 I / <br /> Total Fee: $ 1 �7• �� DateReceived: �O�/�3l�8 <br /> Entered By: Permit#: D�0 —� �o <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 inforntation) <br /> -- ....__._.....,.__..___ .... <br /> THE APPLICANT IS: (circle one) OWNER OR�CONTRACTO$: <br /> JOB SITE ADDRESS: �2���I� �(�J�/'j�'�1 S�lJ4 J!� �L'� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �lv0 If yes,a specia/ei�en/permil is required��ith Police Departmenl and Ciry C'ounci/approi�al <br /> 60 days prior to the evenl. Shzittle bars sen�ice ir�ill be required:rnless applicanl demons�rales <br /> su�cienl on-site parking is m�ailable. Non-permilted events irill nol be alloi��ed. <br /> NAME OF OWNER: G�j�� �`�J"z� PHONE: (home)���'�I��'Z�j� <br /> � (work) <br /> MAILING ADDRESS: ��1.0 t�7,;�;�M�,�JL Q! (���f CITY: �.''��v� ZIP: <br /> co�cTOR: �� ��Nsr.2✓�i �I�•!• PHONE:'?�3-�tS�-c�`'t s�! <br /> CONTACT PERSON: 'f�,�v� C'�«��r.�'1z MOBILE/PAGER: J�3�-�i�� ����'r S"y <br /> MAILING ADDRESS: y St�Ca GA�-��'L LA^'�- CITY: Jbl�Mtiti,�s 173- ZIP: 53�3�S" <br /> STATE LICENSE: #R�C Zi>t1�Z j-tl�rt EXPIRATION DATE: 3I��o� <br /> ARCHITECT/ENGINEER: �;�f'ts �Q�r i��.�/ PHONE:7b 3•y 2�� Z�� <br /> MAILINGADDRESS: p �� �',S:�x ��1 CI'TY: �(s�� ZIP: '"�3� � <br /> NAME: �!'�,F�v O��z, 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: (Z�.A�:�� �o�r� � ���- �„;��%5 �.✓�Tlt <br /> ��rvz4. 1-{�u��'i. A4� �r�rt�.�'��ti ���s;�m <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ Z�� `� ? <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 d wor is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. n � <br /> APPLICANT'S SIGNATURE: / na�: �L �, e�i <br /> 31 <br />