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, 3 � �� <br /> � <br /> Total Fee: $ J`7,s� - � '1" Date Received: �'�� � C_-� � <br /> Entered By: �'���. Permit#: � �;��,��i�;' <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 3��� '�� 1,��I�CQ_ ZIP: �'�S' 3 q� <br /> Will this be a arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special event permit is reqzur•ed ii�rth Police Deparlment ar�d City Cauncil approval <br /> 60 days pr•ior•to the eve��t. Shi�ttle bus se�vice lvill be requireci i�nless applicant demonst�•ates <br /> sz ff cient on-site parking is available. iVon-per�mzitted events will not be allotived. <br /> NAME OF OWNER� ��'t- ��,.}�.� PHONE: (home) <br /> (wod<) <br /> MAILING ADDRESS:3`�g� �.tJ�1�1�C2_ CITY:tS '�6v1.0 ZIP: �;S3 �� <br /> CONTRACTOR: �cL Cc.�.ts�'� � PHONE: �rsa- </01- 9.3d3 <br /> CONTACTPERSO : w� MOBILE/PAGER:4ia- z9�- �-�y/ <br /> MAILING ADDRESS: .3 �'�v1 � CITY:�XCe.(51� ZIP: �J 3 3l <br /> STATE LICENSE: #02033 ff 3�� EXPIRATION DATE: � — 3 l— O S <br /> ARCHITECT/ENGINEER: PHONE: <br /> 11�l:�ILINr ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �_ Accessoiy Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) �-- <br /> Any earth movement may require MCWD review a p r� mits ! <br /> PROPOSED WORK(desc��ibe in detai�:�����-l wt —� -�-�2 ��¢.�,t,�oC�� - <br /> STORIES: oZ. SQ.FEET OF EACH FLOOR: /�� <br /> NO. OF BEDROOMS: GARAG� STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUA ON(excluding land): $ 5a2a �p0 �o <br /> i" <br /> I hereby apply for a building�ermit and I ackn �edge that the i rmation above is complete and accurate; <br /> that the work wii( be in confurmance with the o dinances an cod�of the City and with the State B�iilding <br /> Code;that I understand this is not a permit a ork is not starf without a permit;and that the work will be <br /> in accordance with the proved plan. <br /> �� <br /> APPLICANT'S SIGNATU . � DATE:�— � —� 7 <br /> i <br /> 31 <br />