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. �.;Q.�e ��-z�D,� <br /> Total Fee: $ 25�D'B� Date Receive�: -e2 7-U�v <br /> Entered By: Permit#: /'f �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plec�se print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR\ <br /> JOB SITE ADDRES5: 35�'� �. 5}�-O�.F D(�- ZIP: �S3�'I <br /> Will this be a�'arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �] No If yes, a specia!event permit is reguir•ed with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bz�s service ivill be reguired unless applicant demorrstrates <br /> sa fficient orr-site pa�•king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: I��}�4 � � A�I S PHONE: (home)6)Z-7 y y -Z�a� <br /> (work) <br /> MAILING ADDRESS: 3S�D h�' S�fic�1�� n� • CITY: O���c� ZIP: S�3�I <br /> CONTRACTOR: 1NT�6�-� � ���`(; SoL��1��5 PHONE: 7�3-7yy��221 <br /> CONTACT PERSON: �1 O�J 0 k-��"s S MOBILE/PAGER: 76 3 - �4`f '�Z Z� <br /> MAILING ADDRESS: ��(ovs •A�J//Jt nl� /l- CITY: ��(o ��G(�' ZIP: � �a 9 <br /> STATE LICENSE: # a n 5 9 SO 2 Z EXPIRATION DATE: 3-3l � 0 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may rec�uire MCWD review and permits ! <br /> PRUPOSED WORK(describe in detai�: (�Frn oJ�' ' /t�p�'�� 4 C�l�i <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �D�� �- <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: G��� DATE: I I' �7 - D� <br /> 31 � <br />