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TotalFee: $ ���d� �9 DateReceived: � 1`1 ��''� <br /> Entered By: Permit#: . 7�' ,.�,��;(_t <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 inforrrcation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �J��J FD��'1`� A-f��S �� ZIP: 5 s .�(o q" <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �10 If yes, a special event permit is reguired with Police Departnient and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER:��T"L �14�v1�4.'-�5(��U'��� PHONE: (hoine) �7�Z ` 4rTZ-�SS� <br /> (work)95�-5�'S'S --Zc'�4 <br /> MAILING ADDRESS: g3��E�'�T-�cn�)-��- L,�IO CITY: ��.>1�C ZIP: 5�3� <br /> � c.Fu� �Iz- �5�-�S'rI(o� <br /> CONTRACTOR: ���-1�d�, .' S�N S PHONE: <br /> CONTACT PERSON: t�-i 2-tC- �1'14 y�c� MOBILE/PAGER: (o�"j I �- �rI 1 - q-r/4-� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER �FP P�l�-1�N 1tib; D�r���sic.� t_(-C.PHONE: �7b� -T�30�- �c'��4 <br /> MAILING ADDRESS: `�(�a $l��`�v�� �;; N,E, CITY: i�CA�i v� ZIP: I�l�l? <br /> NAME: ��y M i y��,y�� ' '�"� REGISTRATION: # ����- <br /> I�g43z -- �� ��.>r��^ �:�� µ��� <br /> TYPE OF WORK: New Holne Addition )(� Accessory Structure ��`t C°��, <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: A D��TIC�.% - ►(�f�1 �-t2- - P�����: 'Z��rA� 6ED�x,*�S <br /> �� `vA�N-5, A�DQ tN b ���-r P���t ,df�o��r ��c�ttAt�c,l�on��7� r.�C��;� 2ar�� o��z- 3� �-c.�.,o� b�z9c$�, <br /> ►���.:;,���� • �s,.��c�;CS��:rj A�oir�o►J <br /> STORIES: Z SQ.FEET OF EACH FLOOR: ,7 I F��r�r�r� f�0 5f«^��� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DE ACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �-�O,��C; — Z5�>,ec�C� <br /> I hereby apply for a building permit and I acl:nowledge that the infonnation above is complete and accurate; <br /> that the work wiil 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 pennit and work is not to start without a pennit;and that the work will be <br /> in accordance with the approved plan. <br /> ./J <br /> �PL���T'S SIGNATURE: _�.�� 1 �-- DATE: S��� r�s <br /> ;� <br />