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. �.. <br /> Total Fee: $ ��--5- �S DateReceived: 9��,� ��� <br /> Entered By: Permit#: l��" - �(� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> . Ali information must be submitted in full before plan review will be started. <br /> (please print a[I information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> .---- --, <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR ) <br /> _� �._ _..—---/ <br /> JOB SITE ADDRESS: ��S ���C-�< ✓��?/l'� �� � Zjp; S� �S � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If yes, a special evenl permit is regui��ed with Police Department and City Council approval <br /> v 60 days prior to the event. Shuttle bus service wiU be reguired unless applicani demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �����r� ��'-�/'`-� PHONE: (home) ��7.3` �6 6 7 <br /> / n (work) <br /> MAILING ADDRESS:/�� �'��LCd"� �-r' CITY: ZIP: <br /> CONTRACTOR: �)� �Z�,�C:� C�,;15 � PHONE: %G 3 ��% �J�j� <br /> CONTACT PERSON: (,v� /L AS���� MOBILE/PAGER: 61.z�6 S"-���7 <br /> MAILING ADDRESS• � �j('.v�C�n���. �'�,+� CITY: ��'-�� �n � ZIP: 5,S 3.s�1 <br /> STATE LICENSE: # .� ��� EXPIRATION DATE: .S- "6 9 <br /> ARCHITECT/ENGINEER: 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) _� ' s�'�/� <br /> Any earth movement may require MCWD review and permit <br /> PROPOSED WORK(describe in detain: �.n�-c�.2_ G � C�� �+ � (`�-�� �����tst� <br /> 12���, --� F�,r�1�2� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �1 L�L-' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 CS�)C -�' <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 wo is not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. ,�r� <br /> / =� <br /> �/� ,/ �. <br /> APPLICANT'S SIGNATURE: ��('��viY /5���/DATE: � �� `�'' � <br /> 31 <br />