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� / <br /> Total Fee: $ Date Received: � �� C�' � - <br /> Entered By: Permit#: ���L�J / � <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 CONTRA TO <br /> JOB SITE ADDRESS: � 1 �( O � 2J�� a c, �p �--,� ZIP: j ,� l� <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 r•equir�ed tivith Police Department and City Coz�ncrl approval <br /> 60 days prior�to the event. Shiittle bus service�vill be r•eqa�ir�ed i�nless applicant demonsh�ates <br /> sifficient oi�-sr.'te parking is available. Non-per�nitted events rvill not be allowed. <br /> NAME OF OWNER: ��(,�,C��u"l���,� � I PSS hPC'PHONE: (home) �o�' ,3 -�-(3� <br /> (work) <br /> MAILING ADDRESS: ���t� �e t`��ati(J �1� CITY: 6 ZIP: ;�,��� <br /> CONTRACTOR: ���� Cr�./`.S�r�.�,e."�"� o. � PHONE: �Cp 3 - � ? 7 - � I�Q <br /> CONTACT PERSON: Cyo�'o�-u 1-�o w a�' d MOBILE/PAGER: L�12-20 4' --�j'7�� ' <br /> MAILING ADDRESS: '(,3 80 -3(s?5't S�E CITY: �u�a i p ZIP: ,�"S �r 3 <br /> STATE LICENSE: # 2 c�d Z l O Q t� EXPIRATION DATE: {/�a��� Q'� <br /> ARCHITECT/ENGINEER: PHONE: <br /> LY1�1L11\TV�Ll LJJ. Vii i: �iiin: <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 /> �x OPOSED WORK(describe i� detain: �.e� 1a c P � t,cl I ��.o w — <br /> 'K.��-�a� P d r�.� o� �.e S w i-N� �- r�e� }�e a�e r' <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: Z SO C� <br /> 1�'O. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�, ���, �� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and acc�u�ate; <br /> that the work will be in confonnance 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�vill be <br /> in accordance�vith the approved plan. <br /> APPLICANT'S SIGNATURE:� �[ V DATE: 7 �R'dZ-P <br /> 31 <br />