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> <br /> Total Fee: $ � ���o Date Received: <br /> `,)lZ�� �D'l <br /> Entered By: �� Permit#: � i � C��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[I ii�iformcrtion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR�CONTRACTOR� <br /> JOB SITE ADDRESS: �% �� ��,��o-�G —�.e��i.��z- ZIP: ��3� `� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO /f yes, a specral event per•mit is�•eqarired lvith Po/ice Departme�zt and City Coa�nci(approvn( <br /> 60 dnys prior to the event. S/nrttle birs service will be reguired un/ess app/icant demonstrates <br /> sa fficient on-site parking is available. ��'on-permitted events�vill not be aflotived. <br /> NAME OF OWNER: SGOT d�Z15 S�t �An U�y PHONE: (home) ��'y�,�,�-1�y� <br /> (work) <br /> MAILINGADDRESS: 1�9y GL/�1��,p�i yQv�. CITY: /I�Dr�t�� ZIP: 553(�y <br /> CONTRACTOR: �f1�/�D �i('6'�1 RI 6 �il o �v1zS PHONE: `�5�'�`1'3�i"����— <br /> CONTACT PERSON: �p�ri'�Z j�I>F[_�/ �,i" MOBILE/PAGER: �;5',2 -;t7� , S7� <br /> MAILINGADDRESS: �3b %�'�S� �7`�'t�i `��, CITY:�=JJ��+��1y�55�n� ZIP: 5�3�i � <br /> STATE LICENSE: # �7 y( EXPIRATION DATE: �P2l� U 3 <br /> ,U� k�i' ' . <br /> AA���fi��ER L�Q�vER�-o.v2 �Cv�>r��� n�>,�-yv PHONE: �,f�� ���0 . L�(d.`7 <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Re►nodel/Alteration (ie: Siding, Windows) ✓---� <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSEDWORK(describeindetcri�: �rj'�p��� - �t2j',�.'��� LIz�Lt+v`�-- d-V,�a��L�r�fr �— <br /> � <br /> �J-�f�ti ST�'� r�IL LUA.c/ A�^'/� �Q�? 3;Ya%�,��j�.' _ ��d�0 � �YI3A/L �4ND �A /3�ivETS- f4t� � sc��� <br /> `� (�� 7(�j�^L%r j= )Q�1�L:��.F' . ��G*%i�Z- �B�`9ADD -�h�rss ZrG-i.�I`i�t:��Nr'''�i�/LS/�✓�L` J. ��9 /rt/f . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land j: $ ��,���•' � <br /> � <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���ork is not to start without a permit;and that the���ork�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: , DATE: .5 -� �j --p � <br /> ,� <br /> � <br />