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c�f�:o� <br /> ^ �� <br /> Total Fee: $ ��5. S$ Date Received: � �� O� <br /> Entcred By: Permit#: ,L�-//� <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: (circle one) OWNER O��QNTRAC�Ol�� <br /> JOB SITE ADDRESS: � 7�v�} �-��'' �`r�'�-��; C , ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �,]v0 If�yes. a.rpecinl ei�efl�perrnit is reytrired l��ith Police Uepar•tment and('ity C�ot�nerl apEn�orul <br /> 60 dnys pria�to Ihe erent Shtrll/e ht�s se��•ice lrill be reyuired trn/ess applicn�7tdenton.slrates <br /> st�icien�nrt-srte parking is avarlable. Non-permitted erenis irr//not he a11oi��ecL <br /> NAME OF OWNER: ��`�T rJ-�Ic�R� �"�1�_ PHONE: (home)�S� -�! 7/ " ���� <br /> 'Z,7�4� � ,'- (work) <br /> MAILING ADDRESS: e�:�Q�:.��� L CITY: C�17a.n.�d ZIP: <br /> �� <br /> CONTRACTOR: � �C��;H;;,,,�. ��.,,�.��:� ����,��z�a�i PHONE: C/'-�Z�',�'S`tZ <br /> CONTACT PERSON: �f Gl ,,,f�w;'h.r.s- M BILE/PAGER: Y�Z-�-�9�— 7i S7 <br /> MAILINGADDRESS: 3r�►y ��SO�nS� � S�. CITY: -��%� ZIP: Ssy�O <br /> STATE LICENSE: # � �!G� 7 � Z EXPIRATION DATE: 3/'3�jo9 �•�e..� G��'-� ��'�'� <br /> � ARCHITECT/ENGINEER: PHONE: <br /> ti J ,� MAIL[NG ADDRESS: CITY: ZIP: <br /> �v N�MR• RF(:'iCTRATil1N• # <br /> TYPF, 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 detni ���c'�, � <br /> ( �� �.t, a� r��r rc�a�� l��� <br /> -�d G��.�:� ����� ��� �-� r� ,,�. S � �ff�'��.-� �r�.��,. <br /> STORIES: _� SQ.FEET OF EACH FLOOR: � .�' y�E3 lZ� �b`�F�G�� <br /> N O. O F B E D R O O M S: 3 G A R A G E S T A L L S: A T T A C H E D 3 D E TA CHED �— Y ^ <br /> ESTIMATED CONSTRUCTION VALUAT[ON(excluding land): $ /�4m� '�- <br /> I hereby apply for a building permit and I acknowled�e 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'SSIGNATURE: ��ii �✓� �-�C/ DATE: ��/�4�'� <br /> 31 <br />