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• s <br /> o ' • <br /> Total Fee: $ Date Received: � � � <br /> Entered By: Permit#: / / <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 ir�formation) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �,l 3 l S aJ oR1'� ��oQ F �2�V� ZIP: s 5"�6 y <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 avaidable. Non permitted events will not be allowed <br /> NAME OF OWNER: �I�Q�� C��So�IJ PHONE: (home) <br /> ' work) %5�- 42 J- 2j$Z' <br /> 1VI�II.,INGADDRES5: ��� � �PGc� LaR.e CITY: � �Pac� ZIP: SS <br /> CONTRACTOR: �,,�Ty��S C�o�sT2,�'t��U �N� PHONE: �5Z'�/76 -26 8'] <br /> CONTACT PERSON: �'"'RACEY Gv1.��r-H�s MOBILE/PAGER: GlZ -2 S'I -25�0 <br /> MAILING ADDRESS: y!v Lp-k�-v►� l4�+e CITY: �,�rw c �.� ZIP: 5,�3.�1 <br /> STATE LICENSE: # 2�/ �'2�/S 6 EXPIItATION DATE: �J�J/2�e � <br /> ':Y►�i,�� tw��i e�sb�;lc�P2 @�ioL.c��wl . <br /> ARCHTTECT/ENGINEER: `Z '(�S ��Ch;�C-�c�'S PHONE: 61 Z - R[O -�i GZg <br /> MAILING ADDRESS: /C�/ 3 S �!7� 6�� �V CITY: ��y wt�,Nn ZIP: S S y�/2 <br /> NAME: ��c� �?oQ�.1� REGISTRATION: # 212 S� <br /> TYPE OF WORK: New Home )C 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 detail�:�ew� L>x�srr�� 1�vh�e . Qud/r_' A��cc�7 <br /> �utie o�u 5'��Fe <br /> STORIES: ( �Z SQ.FEET OF EACIi FLOOR: �ST� 26 y y 2N�. Q6 8 L3oti os S2� <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �, oc�o� o�� a 6 <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 a.nd 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: �V DATE: �- �4'-o g <br /> 31 <br />