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. �� <br /> � G�� � G ; <br /> Total Fee: $ �� ��/`�� Date Received: 0 Z-� �U� <br /> Entered By: � Permit#: � /�;� � � <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 info�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> __ �. <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> �—___ _ <br /> JOB SITE ADDRESS: �71� ��'�v TS1�C `C���r= i�;�s_�- ZIP: �S�S � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO /fyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prio��to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. 1��on permitted events will not be allowed. <br /> � <br /> NAME OF OWNER: �' j?�'� � ��,ST7�'l� f,�,', Iscnn PHONE: (home) <br /> " ��� (work) <br /> MAILING ADDRESS: �71S L�c+U rtit-rz ��� � �4t CITY: �or�.� ZIP: S -�5_ <br /> CONTRACTOR: � PHONE: " - <br /> CONTACT PERSO : �= Z � - MOBILE/PAGER: �SZ L'!7S �r�sj— f i�F-- �S� <br /> MAILINGADDRESS: ���� �,(���,�;¢�/HGG �. CITY: �c�ivu ZIP: ssS..-�� '/ <br /> STATE LICENSE: # G 7C Y EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <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�: ��y�y-i,� �c��r�vi,�� (�t:�.K _ �2�'PL"5�-7� I'(��� <br /> �C�K- . ��-Pf4-.'� ����: ��L-L� �,..�Ft�-i--�2 D.�u,-�v�-�c--�= c���,�79-Y�=1t�7' J'��'� - <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �S ,�t'�' <br /> I hereby apply for a building permit and 1 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 SIGNATUR�' �!^ ��-�, DATE: � �� 2� ` Z�(� <br /> 31 <br />