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� �� `�W_�1�m Y 4�li � <br /> �r,pg <br /> ., 3•2 <br /> ' `�' ;� <br /> , � ;...;. <br /> TotalFee: $ �e�`�'-�� '�r�G=`�� DateReceived,�����1�� <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle or�0,—�OR CONTRACTOR <br /> JOB SITE ADDRESS: �"�Z`� �-:�l e:'�-L' .�1 L�� 4 i>�+J� �'� ZIP: `�S �` "7 � <br /> Will this be a Parade of Hames, Remodelers Showcase Home or other Display Hom+e? <br /> ❑ Z'es �NO If yes, a special event permit is�•eyuired with Police Department and Ciry Council approval <br /> 60 days p�•ior to the event. Shuttde bus service will be reguired unless applicant demonstrates <br /> su�cienl on-site pa�-king is available. Nor-permitted events will not be allowed. <br /> ,'"� <br /> NAME OF OWNER: �,���-r� C1��' PHONE: (home) `/'S� y�l��'�. <br /> `' :�, work �7E�� �7/ c�'�.�1 <br /> MAILING ADDRESS: ��5�� /✓- /�4•�f�'��`� � CITY: I�!'-ii�Csc���7� ZIP: Sj��y/ <br /> CONTRACTOR: M,�--s�2 �cr�� ��-� PHONE: '�I S Z-ZS-3—d(�(�S—" <br /> CONTACTPERSON: '�}�,�L j,,✓ ��,��,r1,e� MOBILE!PAGER: �p,,,N <br /> MAILINGADDRESS: �.� ;� ��,a-�t2�,-�q- 3c;.,� CITY: S- i:�{;E� ;f'�z.c,� ZIP: s�'�%�� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �'���--� �,��>,2�s To� 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 /> �R�i�05E��'���K(rlescribe in detai�: %�/'r���� t'"•�Zi„�'�� fJ��.y .M�3i�.,E �'2�G <br /> , � (� -, �^ /� <br /> �rL�� ✓/'�� s�i L l 'v�G�t^'J //✓ � ✓'.�'�•� j �� il <br /> ���` /o , � ,�<��� "G � . <br /> STORIES: I SQ.FEET OF EACH FLOOR: ���"1 <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATTACHED tJ\�1 DETACHEDN'�I�t <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /,5'�5 po <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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � . j <br /> . .� y <br /> APPLICANT'S SIGNATURE: � } `�, ���� . DATE: Z - �`{ - u�' <br /> 31 <br />