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��. <br /> t <br /> , � <br /> f <br /> Total Fee: $ � 9� �O�I DateReceived: � ��"�- �'� <br /> Entered By: Permit#: � l ( �7 � � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all infoYrraation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR� <br /> JOB SITE ADDRESS: 4�D`� /����, ��,,�� ��t���< ���1\/fZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � YeS ❑ No If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �,�'�'l('� �a,k�,;, L� PHONE: (home) Z-��- �7C�� <br /> (work) <br /> MAILING ADDRESS: IZZ4S 1��cv��t-� �v�CITY: �v�Sv►I� ZIP: ��� <br /> CONTRACTOR: }�ic�1n�,�,;,,r�c P?u,1���„�� 1�e_ PHONE: �5Z- �s�7_-- �s`I�`� <br /> CONTACTPERSON: �;,n� �r;�1�5 MOBILE/PAGER: `�SZ- j92 -��+73 <br /> MAILING ADDRESS: tZ24S �t�c.�,ilcc-� �4vz CITY: �,,u;i��,t,ll c ZIP: 1v1�11 <br /> STATE LICENSE: # Zc:3-i 3���� EXPIRATIONADATE: 3- �?f3 <br /> ARCHITECT/ENGINEER: 5���� ��v�1k,� PHONE: tol2- ��-� 3�,i�, <br /> MAILING ADDRESS: ��j�Zt �����; ��� CITY: >)�v-�'�w,� ZIP: <br /> 5 5-3�-� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home � Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) <br /> **.4r7t� ec7y�th mol�erT�ef�t i��ay r•eqarire MCWD Revieiti•af7cl Perfjrit! <br /> PROPOSED WORK(describe in detai�: /��k; ��� �"/ sppp �_� � t�,r 5 h:,. <br /> Z C�aT l'�T�0.il.�.-ayC �J r��a.` c 1z �c.��V.--�aL <br /> STORIES: � SQ.FEET OF EACH FLOOR: �.�- - i' ' C� M�1�,;,�v� -- j�� �� �;,�-'j�iL1�� <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATTACHED �. DETACHED 3 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 9D�, l�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: 'L�---- DATE: � ��' "' <br /> 31 <br />