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Totat Fee: $ gL� . � DateReceived: �'7- D' <br /> Entered By: Permit#: �}J/D�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 a/l i�zformc�tion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: ( I 4f 5 �/�'L�' �'�~'�� �C ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event pernzit is r�egzrired witlz Police Departn�ent and City CozFncil approval <br /> 60 days prior to the event. Shudtle be�s service ivi!!be reqi�ired trnless applicant de��lonstr•ates <br /> si fficient o��-site parking is available. 1Von-pe���nitted events wil!not be allowed. <br /> NAME OF OWNER: ��1 � ���� ���E % PHONE: (home) <br /> LI N (Work) <br /> MAILING ADDRESS: �� �`� '�� � CITY: L��'�'d ZIP: <br /> CONTRACTOR: ���-L r�'`'� ���TL�C ��`����`i��' PHONE: a$� ��a �s s6 <br /> CONTACT PERSON: w�hL•aM �'��'�-�E MOBILE/PAGER: 1� �1'�!o i;�v <br /> MAILING ADDRESS: �f�:o� ht�+-�.�v�.� �4, CITY: 5�"�� ZIP: �S�`� <br /> STATE LICENSE: # ��o�y �S o�_ EXPIRATION DATE: 3%.>�.G�-� <br /> /ENGINEER: ..�oE G��� P• E• PHONE: 61� �:�7 7�s�s� <br /> 1VIAILING ADDRESS: °IG� N 3 zfl 5` '� IDG CITY: /`'1��5• ZIP: 5 S�/ <br /> NAME: M�"��'V ��'4� �/L/� REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home �1/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(tlescribe i�z detcri�: QG�v� �� � � �-'�� BF�✓i�ti� <br /> LvA��.L � iti�,�n.� L-vE '�3�4�°�' � <br /> STORIES: � JSQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED <br /> , � . <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � '���• <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;tllat I understand this is not a permit and���ork is not to start���ithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICAIVT'S SIGNATURE: ` DATE: ����U � <br /> ;t <br />