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' � 'Total Fee: $ �7`• 7l DateReceived: /� ra�- � <br /> Entered By: I��p� Permit#: apa 8-Gt�3a(o <br /> CITY OF ORONO - BLIILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CRj ON RACTOR <br /> �—� <br /> JOB SITE ADDRESS: � ZSS��'�;�r�l� C1z.� . .L�T� . zlP: �..��.-3`�`1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event perrriil is required with Police Department and Crty Council approval <br /> 60 days prior to the event. Shutile bus servtce will be re yuired unless applican!demonstrates <br /> su„tficient on-site parking is available. Non permitted events wilJ not be allowed. <br /> NAME OF OWNER: �U��� �',���� � PHONE: (home)CGI�-'�yS�j�37 <br /> (work) `' <br /> MAILING ADDRESS: ��.�� �CI� C'/Z�CITY: �,�'00Ud ZIP: �r'S�7'� <br /> L u �.�4 s f3 T��� C r.�-n��,,4�tt� <br /> CONTRACTOR: L N sf-1�N k- /3GI! G-��1'�.s PHONE: ,�l,�3-����v--/`�S,i"" <br /> CONTACT PERSON: �.(,CC}l,S ��4/�/� MOBILE/PAGER: " �� <br /> MAILING ADDRESS:f�b Co ,y/�/s�/i�P( DIZ • CITY: e�ANk j�C.l l� ZIP: .�.5�,,,3/�0 <br /> STATE LICENSE: # Zo S�'!Sco c�v° EXPIRATION DATE:__� -3/ - b q <br /> ARCHITECT/ENGINEER: �'� � ��G jf'(���.�"u j� PHONE: 1�I Z- '�Z 3--�(�3 Z <br /> MAILING ADDRESS: ��O � 1s1`; �hv• So • CITY: ��5. ZIP: �t `� <br /> NAME: ���)C I�-�- ��'.c t, -�f"" REGISTRATION: # f�j �.S" <br /> TYPE OF WORK: New Home Addition Aecessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) �_ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe irt detai�: j��-,�`�,�Gf�TI,-/K-E 7s� -f/h• �'�J� �/U L7 <br /> -��, ,��ttic o!� L-rs r�t� 1��'"���'/�l� G��L�. I N t_o�r�T�- L Et���-B� s�e��/ T- <br /> STORIES: �... SQ.F''EET OF EACH FLOOR: ���� <br /> NO. OF BEDROOMS: _� GARAGE 5TALLS: ATTACHED� DETACHED a <br /> ESTIMATED C�NSTRUCTION VALUATION(excluding land): $ �, d 6� � �a <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 ardinances and codes of the City and with the State Bui.lding <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: �--��''� � -���f�- DATE: j� � � � ""�� <br /> 31 <br />