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Total Fee: $ Date Received: /�-1 S�D(o <br /> Entered By: Permit#: ��}�p�S(�,7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif•cle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: . �. S� � ,� j�s 1-5 ���� '�`iS�rh ZIP: ,� � �� <br /> �iG <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �� No /f yes, a special eve��t pe�•mit is rec�uired with Police Department and Ciry Council approva! <br /> 60 days prior to the event. Shuttle bats service will be rec�uired:�nless applicant demonstrates <br /> sicfficient on-site par�king rs available. Non-per•mitted events wil/not be allotived. <br /> r,,�J,9 � <br /> NAME OF OWNER: �`��:���'� �,�lQ �I/�;�I(-� L�}-l� PHONE: (home) �- -�7�5 <br /> (work)C-- I�- k 75—I oSo2 <br /> MAILING ADDRESS: � �,—b CITY: �P�r , ZIP: _3J � <br /> CONTRACTOR: ��'�J'�; � - PHONE: (�S2 -��� -g(� <br /> CONTACT PERSON: 1l�IOBILE/PAGER: ( - S� f - � S� <br /> MAILING ADDRESS: � - CITY: �ti���� ZIP: � �� <br /> STATE LICENSE: # O �3r,��y-- EXPIRATION DATE: ���c� �i.'O"7 <br /> ARCHITECT/ENGINEER: �I�I��(�/�,�,J�C,/� I�,�i(r�I /�IC. PHONE: S�-�3 -� <br /> MAILINGADDRESS: L) In). 7�5�� �ST.,�,����,�iC CITY: � �F ZIP: . S�� � <br /> NAME: L�l.C (�v i,.j n; REGISTRA ION: # <br /> i <br /> TYPE OF WORK: New Home �_ Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROP SED ORK(cl�cribe in deta�:�� ,��.,;�,� �1,��7 t�1�F • �o C�'c�l�i�-�� f-a�� <br /> �. D - -N . � � I`�D �J�L � C - J � Z l.L <br /> ;�< �tiG �t�-��1 LCV=1. -�->v< l�.)c� inlFkKc� _ �S�vl� <br /> STORIES: W (ti!�t.(Cod� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMA'�'ED CONSTRUCTION VAL�JATION(excluding land): $ �, CX�p.-��'- <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�d work�no,f�to start without a permit;and that the work will be <br /> in accordance with the approved plan. f', , ' �` <br /> , �'j / <br /> APPLICANT'S SIGNATURE: ,�����'� %��,.�/ DATE: ��—,�J- (�F� <br /> , <br /> ; f , <br /> ,,���, <br /> / <br /> � <br /> 31 <br />