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' i iV� I <br /> �0,3� <br /> Total Fee: $ �9- lv 6 Date Received: � �� � Z� <br /> Entered By: Permit#: � C j�/ (�� <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 ONTRACTOR <br /> JOB SITE ADDRESS: 2.1�� K���D �rir"� 0�.�►�o Zip; 553Q 1 �'Z) <br /> Witl this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event per•mit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be��equired unless applicant demonstrates <br /> suff cient on-site pa��king is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: � � pl�l�S�N PHONE: (home) �-'7 ( al 36 6 <br /> (work) <br /> MAILING ADDRESS: ,4�5 P�$a�E CITY: ZIP: <br /> CONTRACTOR: (��Z.�y�.T �hc t��T J4-to'izS PHONE:�S�- �"�1 Z- 1 t'L� <br /> CONTACT PERSON: �pRv. '�M1�u�riE1.� MOBILE/PAGER: �►S i L'�-o 0'7 3� <br /> MAILING ADDRESS:SOST T'H'��- pb��tS CITY: rMov�w�O ZIP: SS 3c 4 <br /> STATE LICENSE: # Z,p3$G'Z ! 7 EXPIRATION DATE: 3- 3� - '�o� <br /> ARCHITECT/ENGINEER: � � —'� 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 W RK(describe in detai�: L='PLA�GE �)Z.�S:T��L. ��.� <br /> � c L P� � <br /> STORIES: c�t�aE SQ.FEET OF EACH FLOOR: � ¢¢- <br /> NO. OF BEDROOMS: a1�1E GARAGE STALLS: ATTACHED r DETACHED � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ �s� i3730 <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: /'Q�,p,,.� �a;��;(,�t�J DATE: OrT Z6 Z-+�7 <br /> 31 <br />