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. a-G��� <br /> Total Fee: $ /38C�• Date Received: a -�6-D 7 <br /> Entered By: o �'d- Permit#: ��D 7� ? <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 CONTRACTO <br /> JOB SITE ADDRESS: 2�i�15 JAM��T�t�[N R�� ZIP: �7� �J'J� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the�vent. Shuttle 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: Tl�� K�'T�'}� �JW�YV� PHONE: (home)�1 Z'q? 'C/''�OS <br /> (work) �i52'�5'253� <br /> MAiLiNG an�xEss: Z q l 7 J��tEs��l ciTv:L.o�a�aKE Z1P: 5�3S� <br /> CONTRACTOR: J-UI.���c`�.0� '� A�J��-• PHONE: R .�- '�1Z�' <br /> CONTACT PERSON: /�� ANDIEEIQ,S� MOBILE/PAGER: � - -CJ$ <br /> MAILING ADDRESS: �lf{rj "T121W fJ�"1 GR,U.L� CITY:VIGIt�I/� Zl : f��(p <br /> STATE LICENSE: # Z�{tj EXPIRATION DATE: Q � <br /> ARCHITECT/ENGINEER: �J'i�c�'t.1E A�7 1}LC�IJ� 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) � <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �X1ST1� K�1G1-I�V��lN67J'� R�wIODf-�--� <br /> lv6w F►x�uQG-�tFT pc15Tt� PowOC-� i2►�1. /� �ciSTi� .G�4-nH �r+�ooE�-.• <br /> A�D 5��� L�TL'cTr� "'� DR,cao�I�• <br /> STORIES: N I� SQ.FEET OF EACH FLOOR: IlJ�ih <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED Z� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �J�� <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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE• DATE: a I�� Z�� <br /> 31 <br />