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�,v� ��-2g o,� <br /> � �y3: �`� <br /> Total Fee: $ �� DateReceived: , l — ��= O1�_ <br /> Entered By: ��.,���� Permit#: , �} /�;�j ��-1(y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ecrse pri�it all i�zfornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- --� <br /> �„_�,� <br /> THE APPLICANT IS: (c�rcle onne � OWNF,�R CONTRA.CTOR <br /> �___-_�--_.�� <br /> JOBSIT�ADDRESS: y`�'��/U�,7rZ%r-� �7%-tB��iz � �Z ZIP: `� � � ��' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS ��TO If yes, a special event pern7it is r�eqirired tivith Police Depc�rtirrent and Ci.ty Caz�ncil approval <br /> 60 c/ays prior to the eveyat. Shuttle bus service rvill be r�equired un/ess appliccznt demonstrates <br /> si�fficient o�7-site parlcing is m�ailable. Nor�-pern�itted events will t�ot be alloi�ved. <br /> NAME OF OWN�R: �ZA��� �. ���s�ti PHONE: (home) �`�a � (a�� � <br /> (wOIIC� �''/So�-`135- JS'1/o�- <br /> MAILING ADDRESS: �1��5 ✓'L'o��•> j�«�2n- CITY: ��Z��•i����' ZIP: 5 s�`3C-�-( <br /> CONTRACTOR: �s r,�,3�,; � PHONE: <br /> CONTACT PERSON: �,�:���=-' � MOBILE/PAGER: <br /> MAILING ADDIZESS: /� CITY: ZIP: �5��'l��-� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �r��-tS�,� '��-�:5.�.,�5 PHONE: (�� -.5 78 -3�! I� <br /> MAILINGADDRESS: loS�J G/e-aEti,�. {�/ CITY: l�t%���3��2� ZIP: ���� <br /> NAME: `�, r�, r,���-5�►= REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structuce <br /> Move Home Remodel/A teration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> �R�P�S�iJ�I�R1K(�fesce•ibeaaa�letrrd�: (���.-,vrc � �/v.�,� 'io �s+;z��`ri <br /> Tfi�?d✓6�( �j2•i.EZ:�- w�t� <br /> STORIES: c� SQ.FEET OF EACH FLOOR: � b c= c=-� <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED� DETACHED__ <br /> ESTIIVIATEI3 CONSTRUCTION VALUATION(excluding land): � �/�', G'G"G <br /> 1 hereby apply for a buildin�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�vith the State Building <br /> Code;that I understand this is not a permit and���ork is not to start without a permit;and tl�at tlle�voi-k�vill be <br /> in accordance with the approved plan. �' <br /> i/' <br /> APPLICANT'S SIGNATURI;: � '��`��� DATE: ��/� /�� <br /> ,'�� <br /> 31 <br />