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Total Fee: $ Date Received: _� /31 :- <br /> , <br /> Entered By: �=�.���►�, Permiti#: �� ^�� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pYint all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> _ __ �J <br /> �_ <br /> THE APPLICANT IS: �CU•cle one) OWNER OR'CONTR.ACTOR <br /> JOB SITE ADDRESS: � 00 ��x��>��c,� ��,�.e� ZIP: <br /> � <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS No If yes, a special evenf pernzit is req�i�ir�ed ti�vith Police Depai•tmerzt and City Coi�ncil appi�ovcrl <br /> 60 days prror to tl�e event. ShTrttle birs sei•vice�vill be required asnless applicarzt demonstrates <br /> sa ff cient on-site parking is available. Afon-per�nzitted eve�ats will not be allo�ved. <br /> NAME OF OWNER `S��1 � "�V� I �l,�Sp� PHONE: (home) , �� - �2`�'�- <br /> (work) <br /> MAILING ADDRESS: ����J ����C� �� CITY: (�("��v ZIP: <br /> � ' p <br /> CONTRACTOR �I���,��i}y��,�. ��}�p s��,f; L-pp�U� �YIC . PHONE: L!�l- �g� ss:�'az <br /> CONTACTPERSON: �u��v,��,2�, MOBILE/PAGER: 2l�- 4�S/-vy� / <br /> MAILING ADDRESS: ��:3 X �x�rtirx�,� �C�,zr s 24 CITY: ��2,�.cr��p ZIP: ,S<� <br /> STATE LICENSE: # Zo 3 7zy5-K EXPIRATION DATE: �/�i/Z�t�? <br /> ARCHITECT/ENGINEER: Lg�,x� �P��,,¢�y�, S:i�,.��;wtts���'HONE: (�S/- (�-;5�- 7(� 7y <br /> MAILING ADDRESS: S� 3l ��3� «�� CITY:rai-�,*�����z l� ZIP: ��ri <br /> NAME: �,�/�-�r2�� G L�s�„� REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel/Altecation (ie: Siding, Windows) X <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detrrin: ,tpp „�;,,r ,�,9-�;HF,v; r..�rlu2�= r„7 ;�L� �,��,,� <br /> ��. �f,✓!� �k�a>* � pn,e K_ �5�2��Ei <��P-�t�cr�nc7 .�¢7- r!!v,✓i r�r lui:..St. ,an u J2��i�� <br /> d'�r�/Cw/{�, , ,a,✓� �j�aYrVC-? 7j 2c`�.�t!t/+c��� W"g-l(S 9vA iv��.✓ t-/Lviv� ��Z%;-cF <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ercluding land): � `���' �,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 wi ll be <br /> in accordance with the approved plan. r� <br /> i <br /> APPLICANT'S SIGNATURE: t� � � DATE: 5� � I�� � <br /> 3� <br />