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• • <br /> . 1 (�i�l � <br /> n <br /> Total Fee: $ � Date Received: 7—�—b 7 <br /> Entered By: ��T/ �� � Permit#: �j /D g� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> .. ' <br /> � All information mast be submitted in full before plan review wilt be started. <br /> � (plense print all informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRA TC OR ' <br /> JOB SITE ADDRESS: 155 C��.�N �;��,; �r�►�� Z1P: S'a 3 5� <br /> � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No /f j�es, a specia!event permit rs r•eqi�ir•ed ivit/z Police Depai•tment and City Coirncil nppr•oval <br /> ' 60 days prror to the event. Shuttle bi�s service will be reyuired unless applicant dernonsdrates <br /> szrfficient on-site parking is available. h'on-permitted events tivill not be allowed. <br /> NAME OF OWNER: �nn �o Ic�Sh�►°�-Pn � pc�vc� S�'n��-I� PHONE: (home) <br /> (work) <br /> MAILINGADllRESS: '�5 (;o�c�eh �ei�,.� �tZ CITY: ���o ZIP: 553 S <br /> CONTRACTOR: �E N'�MC i2�ktv ��t��'t". �(% PHONE: 74�3���-2�1 -23�U <br /> CONTACT PERSON: 'tLfJ� MOBILE/PAGER: �,� v � <br /> MAILING ADDRESS: �1G3'T C,;:. (��� i� �L CITY: `DE,i��O ZIP: �2� <br /> STATE LICENSE: # � .��-�� EXPIRATION DATE:��� 2.cr�', <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: ' CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WO1ZK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(clescrihe in detuin: '�,�MCt)E� ��7L1� �-TH � P��n 4�A <br /> I�`r.�ti ��{ i,i;iN�cl�v �x iST�t��. �'xTf_�aCi� La;:a-���� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �5�L�Z� J <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and acc�u�ate; <br /> that the�vork will be in conformance���ith the ordinances and codes of the City and���ith the State Buildin� <br /> Code;tllat I understand this is not a permit and work is not to start witho�it a permit.and that the work will be <br /> in accordance with the approved plan. <br /> , � <br /> APPLICANT'S SIGNATURE: DATE: �!.}��v�� <br /> �% <br /> 31 <br />