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Total Fee: $ �3��� . �o Date Received: 2-- �.3 -�g <br /> Entered By: Permit#: ,Q/i87 <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 O CONTRACTOR' <br /> _.__�- <br /> JOB SITE ADDRESS: 3:;2r-�Cj �-c;��n�.�� �-��� � ZIP: SS 35�, <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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAMEOFOWNER: `Tc�c�e� �Ch,1�rv��,� PHONE: (home)�5�.-4-Z�-�c� <br /> (work)'����-��b - l3t;f <br /> MAILING ADDRESS:d jp� S�..vw-.�.-c,c7c� �� CITY: L��y Lu�c� ZIP: �5��E <br /> CONTRACTOR: L..��y $rc,� �-}c�vi�S PHONE:�(5:�.-`��y�,-3"-��.3 <br /> CONTACTPERSON: (��1��5 l.c�,nc�,mc�i-{� MOBILE/PAGER: <br /> MAILING ADDRESS: �So(� (tw.r 7 CITY:M�v►���.�ort�cu ZIP: � <br /> STATE LICENSE: #_�U3����5 EXPIRATION DATE: p-���-�, 3�,���; <br /> ARCHITECT/ENGINEER: 4-��,,P c�c �•t,��,�,�_ PHONE: <br /> MAILING ADDRESS: 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 may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �e,�,� S;r�c�( ����;r h �.y� <br /> ��..�: t��i �w�s �.�,v�i�.",S►,�a sa�i <br /> STORIES: I SQ.FEET OF EACH FLOOR: m�•'Y► L,rv e( "iy'1-) <br /> �,....�:.S �-a,r,.v. i 1�''�."3 <br /> NO. OF BEDROOMS: 6 GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1� 5-C�c� CrC:� <br /> I hereby apply for a buildinb pe;mit and I acknowledge that tl�e 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 wark will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE• � � DATE: � -i 3-C�� <br /> � �y� <br /> / <br /> 3l <br />