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, � � <br /> � I�� <br /> �j � I � <br /> Total Fee: $ / � � , Date Received: �`l,� � <br /> Entered By: Permit#: (7 <br /> �DO - a0o��- <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OI�CONTRA TC OR� <br /> � <br /> JOB SITE ADDRESS: �z� �.�X��' /Z l,� /� _ ZIP: ��_���,- <br /> Will this be a P�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [��No If yes, a special event permit is required with Police Depariment and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: _��;,� ,���,;'c�Y-�Z i'�'l�t�'? PHONE: (home) ��Z-y7(o-'Li 35 <br /> (wark) E�f Z - Zfl"L-3b f$� <br /> MAILING ADDRESS: �/Z 5 �i�C�'�s 2/� �� CITY: �-��-�, �-� �� ZIP: 3 S"� <br /> CONTRACTOR: � � � � � ��� <br /> ���� �zrncec, /�:cl%����� 4� iti.� �r�v� PHONE: jSZJ �!3/-Z5/b <br /> CONTACT PERSON: 5�c v Y�" Cc5�c M BILE/PAGER: �/Z�-��5� -76 £lo <br /> MAILINGADDRESS: �// /_=X��1.5��.� /�'/t°�• CITY: /��„J%t�r� s ZIP: ���' <br /> STATE LICENSE: # �2 cT�.2 5j" ! j� EXPIRATION DATE: ���3 i /d� <br /> ARCHITECT/ENGINEER: s FCI� �-r�61 r�C c�S PHONE: 7(� � �5�/' G/lS <br /> MAILING ADDRESS: ///tzi� jt�1 y, 5;�' CITY: JJ1'r'y�,;�ct ZIP: Sy�// <br /> NAME: jf"-� ��� �1���7 ry rtiv��-1 REGISTRA ION: # <br /> TYPE OF WORK: New Home Addition V Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) V'" <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: � Crc�% �Ci�c e> r,v,�'� �/���z r; <br /> �Gi �iC- ��,7E�f.' '^' /"�C'�llc'�� 4��� Ll•�N.��I'� L,:4� "' !%/1�r'2 ` C����ci. <br /> �n <br /> S.�„ E�T�N� ''+`� .�!'�.1'YL cI`�'.. <br /> STORIES: _� SQ.FEET OF EACH FLOOR: /=-� �5�Sf Z '� Z�S'`�7 <br /> NO. OF BEDROOMS: GP RAGE STALLS: ATTACHED L DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����,; C,c,�, <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 /> �. i <br /> APPLICANT'S SIGNATURE: �� DATE: /l� L°�� <br /> 31 <br />