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y� <br /> � <br /> � <br /> Total Fee: $ 9[O� �� Date Received: ��a�7 � <br /> _ � Entered By: Permit#: �}I��,37 --� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION � <br /> � <br /> All information must be submitted in fuil before plan review will be started. ,� <br /> (please print all information) � <br /> ------------------------------------------------------------------------------------------------------------------------ � <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> � <br /> JOB SITE ADDRESS: i 7Q� ��,�-�-.�} r,��� �,�� zIr: ��; 3� I � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? � <br /> _._l- <br /> ❑ yes �NO Ifyes, a special event perrrait is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates � <br /> suff cient on-site parking is available. Non permitted events will not be allowed d <br /> 1�-- <br /> NAME OF OWNER: ��F� � J��j ����� PHONE: (home)9�2-�-�34�3 � <br /> (work) - <br /> MAILING ADDRESS: 1�74� No F}�2i`�i ���ll CITY: Q�v� ZIP: ��53� 1 � <br /> CONTRACTOR: �,L ��iE�� � S��S: (t�IC PHONE:`7(�3--77z_�'71� <br /> CONTACT PERSON: �U A 1�1 E fii i�Z�'i-} MOBILE/PAGER: (�� 'Z-7�y -g��� <br /> MAILING ADDRESS:$;p� ��x � 3� CITY: Da./�Jp ZIP: �� � <br /> STATE LICENSE: #_ t Z�a EXPIRATION DATE: ZC�c'��, � <br /> �3 <br /> ARCHITECT/ENGINEER: �.iC:}�A�.i� ��r� PHONE: (,��Z.-�5�-�17 Z d <br /> MAILINGADDRESS: 3i5 EASi 50� S��-€�C CITY: F�� ZIP: ���}t�j � <br /> NAME: �iC:r�i}�p G Qp t� ,�.C��T-�T'S REGISTRATIO : # d <br /> `d <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 WORK(describe in detain: ��.3�OQ:�( ,Q-fl0�710�.11 ��:;M?" �L`�k�,��'�t�tol � <br /> M101 i�4 F�t�� �T��C lo t,l talo � �r2 �+p'T ?�� q�' `7!�IS i t M�� S1 <br /> STORIES: �, ° SQ.FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Z� p�o � <br /> , � <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: �ce�� �,,�,� DATE: l Z.` � p <br /> 31 <br />