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�e;�e r �c�Se.m�'�-�- <br /> • � (�-Q o�'S -{-c� � . <br /> �> S� ��-c� f�-e-f c re �x'rm� t <br /> Total Fee: $ =-� � � )S /S����G'� �Date Received: � c�- � ' <br /> Entered By: ��. � '�� ���,���;.� ermit#: f� /p �����i� � <br /> _ I f c-���`�� <br /> CITY OF ORONO - BUILDIN(i Y�;1� IT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print a[l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) WNE R CONTRACTOR <br /> JOB SITE ADDRESS: y2-u�� I�I7�r'�'� S I� �� ZIP: 5 r'�b y <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �'No If yes, a special event pernzit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required zfnless applicant demonsh•ates <br /> sufficient on-site parking is available. Non-permitted events ivill not be allowed. <br /> NAME OF OWNER: ���(�wr,,,� � ��(�-� PHONE: (home) (��L �Z3 -S k3z <br /> (work) 55 i- k� -u.„ <br /> MAILINGADDRESS: �✓,�y�i�a�;LL,,,,�r�?,��1 r�1 CITY: �Lf� ZIP: 'S'Ss�i/ <br /> CONTRACTOR: S�/.� l S��w�e� � PHONE: <br /> CONTACT PERSON: r MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �i �-H;�v=s �c K�g PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home iC 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�: (�1�� �� <br /> STORIES: Z, SQ.FEET OF EACH FLOOR: �t �w <br /> NO. OF BEDROOMS: `I GARAGE STALLS: ATTACHED y DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 4��j' , �2J `— <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: DATE: 5 Z.b <br /> 31 <br />