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Total Fee: $ �" /�(�i% � ' DateReceived: �.� =�< <_ 7_ <br /> Entered By: %�1� Permit#: /���7s� %'� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> V�J <br /> '- All information must be submitted in full before plan revie�i�will be started. <br /> � U�lease priiit all i�ifornaation) <br /> --------------------------------------------------------------------------------------------------------------------�--- <br /> THE APPLICANT IS: (cii�cle osre) OWNER OR CONT'RACTOR _ <br /> , , ,_ ' , ,. ;_i.- :� ,� -; ; ; .:(:L- �-'- <br /> JOB SITE ADDR�SS: �T � L�� � ������ ZIP: <br /> �� . <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If,yes, a special eve��t permit is r•eqzrrrec!ivith Po/ice Deparh�zer�l and City Coi�ncil appr•oi�nl <br /> 60 days prror to the ever�t. Shuttle bi�rs service wil!he regzrired un/ess applica�zt clenro��sb•a/es <br /> suffrcient on-srte parlciwg is available. Non-permittec�events will not be alfo��ved <br /> 1�I�.M�OF�WNER: %-�%GlCO��-�l �N� �S�J�Lf�—'7 PHONE: (home)�1S Z-�/Z3-Zl 8�j <br /> —� (wock)6/Z- 3/�- �f�g8 <br /> MAILING ADDRESS: $�� Zr�� u/�CITY:�,U�, �� ZIP: 5 5�� <br /> CONTnA.�TO�: �iGKd/�, �/�vc= N-�r�'c�1L� PH�NE:�/� -��-�5�� <br /> CONTACT PERSON: /�1 c..- S�ZrJ/�-i�T MOBILE/PAGER:Iv/2-.�Galo-1�S'� <br /> MAILING ADDRESS: /��f� l�'�i2i¢-T�9- �v� CITY: /��v�> �ZIP: �,S 35"� <br /> STATE LICENSE: # ZD 30/(z-v �XPIRATION DATE: <br /> r <br /> ARCHITECT/ENGINEER: I��� �'�iN� � ���'�/✓ PHONE:7�3 ""7�D-S�D� <br /> MAILING ADDRESS: ipD r�LTI , CITY: �j,�/� �,t/ZIP: �;S .r�J�-' <br /> NANIE: 7'C-�2�a I2�GISTRATI01��# <br /> TYPE OF WORK: New Home �_ Addition Accessocy Stc�►ct�ice <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> FIZ�P�fiEI)VJORI<(cfescribe in det��i�: � ��' i�L�jD� -�iN�l,_C._—' j�l/G.� <br /> c <br /> STORIES: �" , /SQ.FEET OF EACH FLOOR: J�S� �/S�!� <br /> NO. OF BEDROOMS: �" GARAGE STALLS: ATT�.CHED � DETAC��Ell_ <br /> ES'I'I1VI4'I'E�C:ONS'I'IatJC'I,I01�1 VA�L,LrJf1T'ION(excluding lancl): $ �i��� <br /> , <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and acc�u�ate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Buildin� <br /> Code;th�t I understand this is not a permit and work is not to start�vithout a permit;and that the�vork will be <br /> in accordancc with the approved plan. <br /> APPLICAi�1T'S SIGNATURE: � DAT�: ! ' Z..�—Q 7 <br /> 31 <br />