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, , a • V�' 'l <br /> �A� � <br /> �.J"' v <br /> ��� <br /> Total Fee: ��J�.� DateReceived: �� d� <br /> Cntered By: Permit#: /�/ ']'� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print ull informution) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APYLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> r <br /> JOBSITEADDRESS: Z�r {-�a(�a���� 1��� zIP: `��3�t- `��,�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO /f yes, a special evenl permit is��equrred tivith Police Depai�tment and Ciry Counci!approval <br /> 60 days prior ro the event Shutlle bus ser�vice i+�ill be�•equired unless applicant demonstrales <br /> sufficienl on-site parking is available. Non-permitted events i��ill not be allowed. <br /> � <br /> NAME OF OWNER: ZY`�� �aSS`� �r N�jPHONE: (home) ��Z - �1,�—��q�% <br /> � �� � � � (work) <br /> MAILING ADDRESS: �� 2.�1 �v TY: c'�N � ZIP: �'l�•—�5�� <br /> CONTRACTOR: \/G�' �C.E`� PHONE: ���Z" ��� ��� <br /> CONTACT PERSON:�T��!'J� ei -,-—t'��i�IOBILE/P�;�GER: — — � — �(mZ <br /> MAILING ADDRESS:(�, l 5 K�f,���- 6tiVC'� � CITY: 6N��v�vt�� rS ZIP: ��4 <br /> STATE LICENSE: # Z�"Z'—'r �,5�Z(v EXPIRATION DATE: �j��i` Zov� <br /> ARCHITECT/ENGIN�ER: �V�ti-��� L�� PHONE: Sc.��-� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> �,w, i41� �' .t k:�t�i,� �''c,�•�wd�� <br /> TYPE OF WORK: New Home Addition�. Accessory Structure�- vV���• y'�vra.�.�l� <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movement y re uire MCWD review and er it ! <br /> PROPOSED W�j RK(describe in detai�: �QVwc�,,F:' �5�1� �� �W , <br /> 1 V�,S�P.r�° �4v e�C,Mn Z v� �r�L``'+�tr Qi/ vt Vb�{►.�:- l • ►v�}Q�i o e. <br /> �'�l��n � �/'�vuc��,� f'L✓��i� �1��� Si2 w� w S �= � � ` <br /> STORIES: SQ.FEET OF EACH FLOOR: �vnd . <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED llETACHED <br /> ESTIMATEDCONSTRUCTION VALUATION(excluding land): $ ��� � �Q� <br /> ] hereby apply for a building permit and 1 acknowledge that the information abo��e 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 1 understand this is not a permit and rk is not to start without a permit;and tl�at the work will be <br /> in accordance with the approved pla . <br /> � c�--,s-���� ' �-- �t l(a� � <br /> APPLICANT S SIGNATURE. DATE: 1 � <br /> � <br /> �.,,.,,�.,, �, J� � �L C 2c.� � <br /> �� <br />