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r��� �� � �- � � � �� .�� <br /> Total Fee: $ �'-�'� - Date Received: �� <br /> Entered By: Permit#: � ' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fuil before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> �----- <br /> JOB sITE Annr�ss: �f-y- 9 � r`�K�S� L�r� L�vro�n.�ir: Ss 3 �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'es �No If yes, a special event permit is required with Police Department 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 alloived. <br /> NAME OF OWNER: '�'I�n �-Lp v��l'Z L l N� PHONE: (hame) <br /> (work) <br /> MAILING ADDRESS: '`���f7 �nft7 L�4-Lf/�- CITY: (°I�Otit7 ZIP: SS3��f <br /> L � <br /> CONTRACTOR: lf��7� /.tJl9-�7 f�K.S a' �4SS D C� PHONE: q�,2-q 7�- O�DO�- <br /> CONTACT PERSON: �ID J�V!�1° �' MOBILE/PAGER: G!2-$!O —7`f�Sq <br /> MAILING ADDRESS: 62l6 g�}-6�E1'Z IZQ CITY:�(�t:� I°,2l�lKJ�ZIP: 5���{-� <br /> STATE LICENSE: # P 00 j 5 0 S EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: V(�Z f 7l,,�- GJ�7�vt S PHONE: �j�2—�17`f— p�O� <br /> MAILING ADDRESS: G'L� g/�-GC'lz�L- �2r0 CITY:��O� �-�k.I�ZIP:5�5�{-� <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 /> PR POSED WORK(describe in detai�: C d��9-/I��y �z. D�-7 Sv� �- � �NYJO� S <br /> l�{�L,9-�l£ bp(J�L� S?�/GLU GC/'z l�fg-Df Q�7�17JJ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �7�f �PO� <br /> 1 hereby apply for a building permit and I acl:nowledge that the inforination above is complete and accurate; <br /> that the work will be in conformance with the ardinances 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'S SIGNATURE: ' � DATE: 7�2P— �'� <br /> 31 <br />