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� ' <br /> �'7� c ��, <br /> Total Fee: $ � `rJLo �SC� DateReceived• %" �� -� T <br /> Entered By: ,',�D �� ��Z(o Permit#: _�-�!/ /li����� <br /> , <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: O {Ju,�-� �c►r,,, Q�G(, ZIP: 5 5.��'p <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specia!event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shutlle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �n i�,�� �'u s�-�.� PHONE: (home) -�i S,�-4�Co'W�/,5` <br /> (work) <br /> MAILING ADDRES5: 8?0 l�lun-h -�a�-.� Qcl�. CITY: O rur+o ZIP: SS�.,,5'�0 <br /> C�NTRACTOR: C-�xa.1cL C�,ecJ �2 c.�J PHONE: !S'oZ-�$S' 7/�C'o <br /> CONTACT PERSON: E r� �o sC ca� MOBILE/PAGER: ,(�',�a ta�� S�vCv <br /> MAILING ADDRESS: SO/ St�.�w Sid e C�� CITY: ���k�+�.5 ZIP: 553 4� <br /> STATE LICENSE: # R[�-�, , S`7�"I 8�i EXPIR.ATION DATE: 3-31- �7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION: # <br /> TYPE OF WORK: New Hoine 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 detain: � La � � a � o� -� <br /> fr e e c e <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7'�'/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 wit11 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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �-/� � ��P <br /> 31 <br />