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Total Fee: $ � � .�'�, Date Received: 1 C�� ��-���_ <br /> Entered By: Pe�mit#: /(;�-/�/,� <br /> _ � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � <br /> � �i ;;� All information must be submitted in full before plan review will be started. <br /> °° +°�' �` � (please print all information) <br /> 1J� �F\• ������w������������r�w�����r������������������w�rrM����w������w�����w�����r� <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � .� `7� Lc�nt:� LG;��� ��L�'`� ZIP: S�7�S C� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Disptay Home? <br /> ❑Yes �NO 1/}'es.cr,�7�c�eictl ei�c��t permit is rc ct�iirecl u itl�Polree Depu�-hne��ttcr�rd C'ih'C'otn�cil apprai•ci) <br /> 60 dcn�,s E�rror Io�he erc nt. :Slirittle hr�s se�1•ice�rill be ret�tur�d tmless c2pplicafr�c�eruonsh•c�les <br /> sitfficieu/o��-site par'lring is�railable. .l on��c��nittec�eti•ent,s irill not he allcnrcd <br /> NAME OF OWNER: �Ie'/�2 f SfGc:�.G �� Y PHONE: (home) <br /> L (work>�/'a �'Yc�'3�2� <br /> MAILING ADDRESS: %S 7U Lt�nc� L��[Q �jv�CITY:O/v�G ZIP: SS �� <br /> CONTRACTOR: C�S��,� S���cfA�eS , �t`� rxorr�: �S� y�� ��yc� <br /> CONTACTPERSON: i-c;.n� ��✓(� MOBILE/PAGER: (�(� a��, l�«/�'/ <br /> " MAILING ADDRESS: /�CJ��x C� �'3 CITY: �y7uf"'� ZIP: S�S3 � ( <br /> STATE LICENSE: # a�S�j '"7�y�j EXPIRATION DATE: /v1�rrC� ��7 <br /> ARCHITECT/ENGINEER: �J���'• �j/'���le V PHONE: �7�� `�v��I 1 7�oZ <br /> MAILING ADDRESS: 30�'� /st�4r/e ,��� CITY: OS�S<-'U ZIP: SS 3 7 <br /> NAME: I�✓C.�C� REGISTRATION: # <br /> TYPE OF WORK: New Home � Addition Accessory Structure <br /> Move Harne Remodel/Alteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: f/�i+2� C X"�'�f:� f/crYr�, �v��� <br /> /� `�' 1.� �.'!�//'[�c// 6/� S•nc:/P fur,, )/ fYo�n� . <br /> STORIES: � SQ.FEET OF EACH FLOOR; �,ysf �a�r i�s� `�_F, "'�`�/�4�!'�l� <br /> NO.OF BEDROOMS:� GARAGE STALLS: ATTACHED � DETA HED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S '7�L� <br /> I hereby apply for a building permit and I acknowledge that the informarion 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. � ��� �`� _��"C�-� <br /> /�� 7� ,G�V � <br /> APPLICANT'S SIGNATURE: � DATE: �C� l �7 <br /> 31 <br />