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� rl <br /> ��` �V� <br /> /�.,�1/� <br /> ,� <br /> Total Fee: $ 3� Date Received: �-a9�0$ <br /> Entered By: Permit#: �4 //g�f� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pleu.se print all inforrraation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � �iGa� �fXL i�15%k�2�: �(� ZIP: �5�`� f <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'es �No If yes, a special event permit is required tivi�ti P�'�_ �nt and City Council approval <br /> 60 days prio�•to the ev��+ �" � . - inless applicant demonstrates <br /> su�ci ill not be allowed. <br /> �� <br /> NAME OF OWNER: �t,,,.►� • : (home) �5 Z 4"1 I l bb'q <br /> N� � (work)(�'IZ Z¢7 4J l � <br /> M A I L IN G A D DRESS:'-��;i � r� ZIP: 5S3S 1 <br /> a���- <br /> CONTRACTOR: + a � i. ��1� �� �:���-�r4 y-3�y� <br /> CONTACT PERSO�j, C%" ' � -•_ ..�� _1 <br /> � � 3 Y 2yq <br /> MAILING ADDRESS:��, �� ��. zir: S�'3i/ <br /> STATE LICENSE: #� � � 1� � 1� 3t - D� <br /> , ��Q� � <br /> ARCHITECT/ENGINEER: _ ��".,`" ,...�(,,I�' , 7��, 441 `�4b`j <br /> MAILINGADDRESS: � ,��-� �� �'� ZIP: ��3� <br /> NAME: �I15 '# .s�'�l �' <br /> TYPE OF WORK: New Horr � �������""�dition � 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�: �t �c� �^`� o�cr� � � <br /> r <br /> / �. `�" �!1 � � �P � . / �- � ' ..+-O <br /> �-f'�r-i�•r� 9- .�� • ��: I Z(v�> <br /> STORIES: �- SQ.FEET OF EACH FLOOR:Ct� ia� C21�' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED jC DETACHED <br /> a� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y7�, p�nr} <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 pla� <br /> APPLICANT'S SIGNATURE: � DATE: Z- —� y--a� <br /> , 31� <br />