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��'�;� 09 <br /> /a � <br /> Total Fee: $ �,�,SC�.�(� Date Received: �-�-0� <br /> Entered By: Permit#: a0f� -QDOa o� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt 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: � �(� �j��G ;ti U ��_i.J �,)1Z ZIP: �� � s� <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 Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: K�-ZL� 5C._�>,n� i r� PHONE: (home) � � - O � <br /> (work)�,,�Z- 9(�y-y9L� <br /> MAILINGADDRESS: � /a,�,�� ,�5 ��� CITY: ZIP: <br /> CONTRACTOR: {/}'1 wv�iTb.�iLA C�S;�,,,� `-��.�r�s PHONE:(�,;1 Z - 3�L"��yS'Y <br /> CONTACT PERSON: ��Lv z� S��eTa,� MOBILE/PAGER �� � � � <br /> MAILING ADDRESS: �' ,�� , � CITY: �/V��,�,v� ZIP: S s cdy <br /> STATE LICENSE: # EXPIRATION DATE: 0,,,/3�10� <br /> �-0 3 g(o�a� <br /> ARCHITECT/ENGINEER: �,�µ�Z ��5/v� PHONE: �; 7 y�- 7 7�t <br /> MAILINGADDRESS: / iv .S �u_��r�;-i. `.1iiZ CITY: jf(.�1,e�Pc,�� ZIP: S"5�� <br /> NAME: v'1/� � �.�� REGISTRATION: # ' <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits! <br /> � ..�4 � ��Z,��V\�i�.JrT- L - /l�� �y�"rr�.��Z.1(��1�-- <br /> PROPOSED WORK(describe in detai�: {�( �< < <br /> l.vcy,�� <br /> STORIES: ��. SQ.FEET OF EACH FLOOR: l � ICx>c� �- ��.oc:, �� /(o c�U <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED � DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y.5', �U� <br /> � <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 i ot to st t without a permit;and that the work will be <br /> in accordance with the approved plan. p <br /> � <br /> APPLICANT'S SIGNATURE: �� DATE: I Z �' <br /> 31 <br />