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• � � <br /> Total Fee: $ �.`���/, / �� Date Received: `;,2 (1 �%� <br /> Entered By: PermiY#: /) � � <br /> ����.�—�- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ��� All information must be submitted in full before plan review will be started. <br /> �`t�, <br /> (please print all inforination) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER ORct�ulvTRACTO <br /> JOB SITE ADDRESS: �271v7 � P(�'I[_i,�,►c.�.i� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'es � NO Ifyes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonst�-ates <br /> sufficient on-site parking is available. Non-pernaitted events will not be allowed <br /> NAME OF OWNER:�Ki►7 C�� �.�.t��.(,�,5� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: '�t� W . � �� (,t�'L±�� �C...- PHONE: �SZ ��'y`��Z-�� y <br /> CONTACTPERSON: �1:' tM�� MOBILE/PAGER: 95Z� LfZ- C�7� ( <br /> MAILING ADDRESS: �73k�� Ufc:� ncr-���-; :�... S CITY: �-�i����. ZIP: ��f3`j <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ��tc>�,�i'V►6�+'s E_ /�',�C>c� PHONE: `1�;Z���`f� '��`fOl <br /> MAILINGADDRESS: �,3�,'��ll <<(y� Qri �'Z CITY: 1'h����1��-tti��k.� ZIP: ��3c_s <br /> NAME: ���,�y�� (�,,�.�,�rrrc�� REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Reinodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROTPOSED WORIK(describe in detain: � �v� � C F �5� irY1F�/iC�' �(-�'�.�. . <br /> 1�7t�. c� Cati� 7- :2'� a� �J'�<<�i � ._ rc �� �'� at� vt� � �i'Ie�TWOc�cl�� <br /> STORIES: � SQ.FEET OF EACH FLOOR: `7LC=� f <br /> NO. OF BEDROOMS: �— GARAGE STALLS: ATTACHED -- DETACHED ----. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �C; C�;(; , G(1 <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 tlus 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 SIGNATU DATE: �'� �fv <br /> 31 � <br />