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, '%� <br /> Total Fee: $ �41G , /� DateReceived: lo/8'�7 <br /> Entered By: Permit#: R///3Z,. <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 O1�CONTRACTOR � <br /> JOB SITE ADDRESS: �-I �� �Io��rj �l �-� � ZIP: S��R� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes ❑ NO If yes, a special event permit is required wilh Police Departrnent and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> I <br /> NAME OF OWNER: ��1 � .����,E �!� �r( PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �j���; f�„��� S(��p.� �ITY: �•��+�rZt�T,� ZIP: �S"�,q I <br /> CONTRACTOR: ���.�� �;,�Jt�� LL� PHONE: �3sz--��17-SSziv <br /> CONTACT PERSON: ��j� ►� ��r,n��u� MOBILE/PAGER: qSZ- 2.qZ - o z3 <br /> MAILING ADDRESS: 7�-c7�? �t��Y�7"A j3�.�"c�CITY: J�Il.�LS ZIP: �S � <br /> STATE LICENSE: # 2��5�'j �3 j� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ��vL�I E C�A;��l� C�,Z�•, �PHONE: (��Z—Z�Co'T S 7� <br /> MAILING ADDRESS: �I 2 1 n,�.i�i�a r�. ►ZD v✓ CITY: V�/(j)��ZIP: 5�,� <br /> NAME: ��-�r� �.��� �l� 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 WORK(describe in detai�: <br /> STORIES: � SQ.FEET OF EACH FLOOR: �;.�,T id�� i 3r �SSS 2�� z�SU <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding tand): $ C� � � � C7C�C� <br /> , <br /> I hereby apply far 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,�start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNA / � DATE: � � <br /> 31 <br />