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. p <br /> � _ �p eol � <br /> �i��`��, <br /> 521 , 0 <br /> Total Fee: $ g�j, 2� DateReceived: S�G''O� <br /> Entered By: ,(��$ Permit#: �Q/2b 9 Z. <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: : C�O �G� ��ti U/�w �4' ZIP: �sS S�s�' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �10 If yes, a special event permit is reguired 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 evenls will not be allowed <br /> NAME OF OWNER: /� (,t-r f s��' � r�, ��c�i' PHONE: (home) �.� o� � �� dB�� <br /> (work) <br /> MAILING ADDRESS: S�J/y, � CITY: c� �j c,�1 " ZIP: <br /> CONTRACTOR: �� $� ����,j PHONE: 76� -G�,��s�:r� 3 <br /> CONTACT PERSON: .S��,� c, f(,q�,(n� ,i, MOBILE/PAGER: C��� (�f� S ;,�`�3 <br /> MAILING ADDRESS: //o$-'' r�C {�of ,�J c� �v� CITY: ��c�,.L-1�. ZIP:��S `�i 3 <br /> STATE LICENSE: # /v �� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �� rrt� ,�F .�/,,-v�I PHONE: <br /> MAILING ADDRESS: �, t �,,,-��,�, � �,,,� CITY: ( ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement rnay require MCWD review and permits! . <br /> PRQPOSED WORK(describe in detai�: J'7� I ni �v e�� !���v� ( l�.�c-a <br /> i,?iJ � i� y� — �i�L'� •{ 2 .4 ,��U r v�C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / �, U<%u <br /> r <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: �_, ��'�------ DATE: � /�� / D � <br /> 3t <br />