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�f2z . c� <br /> Total'Fee: $ DateReceived: Z" -D � <br /> �Entered By: ���_� ��'i'��' � ll�����7 Permit#: 1 O <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ___ _ __ ___ --- --- <br /> -- ___- --- - <br /> (pleuse pt�iizt all informatron) --- -------__._ _.__._ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�re) OWNER OR�ONTRACTOR <br /> r ��{�. <br /> JOBSIT�ADDRESS: 15`1G � ��(.� L�4�.�� ��Z�N� Z1P: �5 �5(v <br /> Will this be a Parade of Homes, Remodelers 5howcase Home or other Display Home? <br /> ❑ YeS ❑ No Ifyes, a special event pern�it is required ti�vitlz Police Depai7n�er71 arid City Cozn�cll approva! <br /> 60 dc�ys prlo��to t/�e event. Shutt/e bus service will be reqarirect unless applicai�t cle�nonstrates <br /> szrfficient on-site par/cing is available. Norv-permitted evends ivill not be allowed. <br /> NAME OF OWN�R: (,vII.LI�4✓►1��t1'VY)`'I � �A�-1'fkC ����k H�ONE: (home)L>1Z-.jZti-y�/(�3 <br /> (wock) <br /> MAILING ADDRESS: �5 y� Li��IL7�.1�}1cit: ��-��1�.;ITY: 0�2C�:/l� ZIP: 5�3�(,_, <br /> CONTRACTOR: C�'SI�-t��'Ct�-- CvN1P����t5 � )NL _ PHONE: (vlZ-3u c, (��,3Z� <br /> CONTACT PERSON: (;�G.-�p-Qt) I`�1i C.�cscF�L MOBILE/PAGER: ��� � <br /> MAILING ADDRESS: 2 i�'� I.-U n►OL irC�=�i L1�NF.: CITY: P�F��I.t,�A/i1�ZIP: S 5 3S� <br /> STATE LICENSE: # Z C�y'y�j�/� 3 EXPIRATION DATE: 3-- �� - �7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> 'T�'PE O�'WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSEll WORK(desc�•ibe in det�rin: !�.�n1p✓q-T f `Ft2��i T �GKC�-� <br /> S'TORIES: _�_ SQ.FEET OF EACH F�,OOR: ��� <br /> NO. OF �EDROOMS: f� GARAGE STALLS: A'I'TACHED DE'I'ACHED_ <br /> �1 J <br /> �ES�'IlVIA�'lEI)CONST'�ZUC'I'ION VALUA'TION(excluding land): � � � / �' �'U <br /> I hereby apply for a buildin�pennit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that 1 understand this is not a permit and�vo5�k is not to start without a peri��it;and that the work�vill be <br /> in accordance with the appi�oved plan. " � , � <br /> �� / <br /> AYPLICANToS S�G1�1A�'UI�l�: -f'`�--'���(_��� � I3AT�.: 2�Z--� �1 <br /> 31 <br />