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. <br /> 5�� . ��, <br /> Total Fee: $ Date Received: �"��'D 7 <br /> Entered By: •L' ' Permit#: f�j//�j�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 all information) <br /> ,,�-__ <br /> THE APPLICANT IS: (circle one) �$��OR CONTRAC'I'OR <br /> JOB SITE ADDRESS: 1�1`�'i L' 4� 1�, �s� c r��� z�: �5 3 5 C <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �,No If yes, a special event permit is required with Police Department and City Counci!approval <br /> 60 days prior to the event. Shutt/e bus service will be required unless applicant denronstrates <br /> suf,�'icient on-site parking is available. Non permitted events wi/l not be a/lowecL <br /> NAME OF OWNER: ���o,� ,�S 7. K;�l c-� PHONE: (home)�lZ- �tF' -,3 d..�"Z <br /> (W�) `' `' <br /> MAILING ADDRESS: �`�c15� �"x 12����-(��� CITY; ��`���' 7.IP: -3 SG <br /> CONTRACTOR �-�� � L ����',' PHONE• Sf1� <br /> CONTACT PERSON: ��S�•-� ) MOBILE/PAGER: •� I Z - ��9- 3��, z <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ��IENGINEER: T���:-' N t'f;�r-- !��r.7.-� PHONE• '7 L"7 7 I �- 1�j o�7 <br /> MAILING ADDRESS: `1 1�v ,� �t ^�'�. �� M'� CITY: 31.� N�' ZIP: "� y�i"� <br /> N�+: �-� N c'1 ;�r � I• �GISTRATION: # <br /> TYPE OF WORK: New Home Addition _�_ Accessory Structure X <br /> Move Home RemodeVAlteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: �d c� 'j�.� �� :1 -a �� (� ,��,�� � -+ <br /> Q���.< } � ��r c� k...: C i � �-.,, r � �= h., � ; e <br /> STORIES: � SQ.FEET OF EACH FLOOR: �3 � � <br /> NO.OF BEDROOMS: `� GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUG"TION VALUATION(ezclnding land): $ ��` ��°� <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 /> APPLICANT'S SIGNATURE: ���2�, - , -�� DATE: %�- ���' ` � <br /> � - <br /> 3l <br />