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� � ; <br /> �', � <br /> � - � � �� 4 � � s� .: ,� <br /> � r�.�; ; �- ��.�� � ° �� � �a.i���n�� , � �t����� <br /> _ , ., <br /> 0" , U . <br /> Total Fee: $ Date Received: �� ,� Q <br /> Entered By: Permit#: / / <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be�ubmitted in full before plan review will he started. ;-`� <br /> (p�use print all infor`rzation) <br /> f' <br /> ----------------------------------------------- -------------------------- ` <br /> --------------------------------- ' <br /> �----------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> JOB SITE ADDRESS: /S /�oRT � ��02 V- ZIP: fS S�6 �� <br /> Will this be a Parade of Homes, Remodelers owcase Home or other Display Home? <br /> ❑ Yes � �10 If yes, a special event permit is req ired with Police Department pnd Ciry Council approval <br /> 60 days p��ior to the event. Shuttle bz�service wil/be required arr�'tess applicant demonstrates <br /> sufficient on-site parking rs available.�'on permitted events tivill not be allotived. <br /> NAME OF OWNER: �����;�; ��5�,�; , PHOrNE: (home) <br /> `'4, �'� (work) 95� - �2 J- Zj$;2 <br /> MAILINGADDRESS: (�Il I ��'%�c� La��� CITY: Il�'tf'� �a-�c�� ZIP: SS s' �t <br /> � <br /> CONTRACTOR: C'�r�-r�c25' C�cti��a,t.�1'I�ti' :�tiG `. ` PHONE: �SZ- y7E ?G S7 <br /> CONTACT PERSON: -�"'Rs}cE� C����- 2s MOBIL�/PAGER: �iz -� �'i -z5<<o <br /> MAILING ADDRESS: ta/b L,C}k1�-v�=cv 14��' CI'I`Y:�`����.;�,��c� ��a;, ZIP: �S 3�J <br /> STATE LICENSE: # �r�j �2�'r S 6 EXPIRATION`DATE: �3 J �3 i /7 c.�o 9 <br /> . ,}.i�./.;� 'r,,:,'���t�,���r���.S�.)..!.lC�Pc �vQO( �r`�Vl � ,.y <br /> ARCHITECT/ENGINEER: �Z I`�S I�ti�C''r�;-��?c-�_� � PH�NE: 6�17_ - `�1�j ->G,�� <br /> MAILING ADDRESS: /�/ �S v 7�� `-��'� �� ��CITY: ���,��ti����-�, ZIP: 5�2 <br /> NAME: 1��cI� S�i��� �-`��« I2EGISTRATTO�i: # 2_1 2 �SS <br /> , <br /> TYPE OF WORK: New Home X Additio� Accesso��`�' Structure <br /> Move Home Remo �1/Alteration (ie: Siding, Windows) <br /> Any earth movement ma reguire MCWD review� and permits! <br /> PROPOSED WORK(describe in detai�: (����,.� �� ��s � � �,,�, , t� <br /> No�. f-u <br /> STORIES: I �Z. SQ.FEET OF E�CH FLOOR: � ST, Z�y�/ 2���. Q6� i3�,�. �%s 51� <br /> NO. OF BEDROOMS: _� GARAGE �TALLS: ATTACHED_� DETAC�ED_ <br /> r� `� <br /> ESTIMATED CONSTRUCTION VALU�lI'ION(excluding land): � �, c���o� ���C�; �> C� <br /> � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accura ; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Buildin <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: � - �`� �� g <br /> ��%��� <br /> 31 <br />