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Total Fee: $ ��,(� Date Received: � (� � � � ��� <br /> Entered By: _�,�,� Permit#: � � (��Z--. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informaYion must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- v"`�� <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRAC� <br /> JOB SITE ADDRESS: ��j(1 G'�ziz�.f;tJ�l:J� T2 . ZIP: j S �S `�! <br /> Will this be� Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �NO If yes, a special even[permit is regui�•ed with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be i•eyuired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �24L�� ,�vn�ivt,4�Ej QL s,_.ti( PHONE: (home) �S"Z� �� S Z�� <br /> (work) <br /> MAILINGADDRESS: �('�v Ckaz,r-iJ��J 77L: CITY: wt,�'c� P��'N ZIP: SS3.�'9 <br /> CONTRACTOR: �7�,�,f-� �B,�h,�/ //�i�hs, �,�,�;. PHONE: �,S�Z �7S (,�77 <br /> CONTACT PERSON: Ti�[ �n.- T'o.�r MOBILE/PAGER: '"`"' ��z-z s2-2�yti <br /> MAILING ADDRESS:Za73 �,/ w�yz�-T.�-- /;��'d CITY: t��ec� �.Ft=� ZIP: S-�3 s�� <br /> STATE LICENSE: # Zv 1 Z� �� EXPIRATION DATE: 3-� 3� —c�� <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) y�� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: i�vl-�/1iu�2. i2,��ro,���z � sy��� �g�T�- No �'�r. <br /> ��G�4-G iz �?�/ST/�'t j �?�I�G/� �@G�i��.� Kc i� �5 <br /> �W;�(p,Q p rJ S c�Cc <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ G� ,� <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 tlle 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 /> ,n <br /> APPLICANT'S SIGNATURE: ����G�� DATE: rU �G a � <br /> j/j l <br /> v <br /> �� <br />