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f _ . <br /> �, <br /> � � ���� ��� _ <br /> � �� ` <br /> �v Total Fee: $ Date Received: � 2�'6� <br /> Entered By: '"' Permit#: A 1 / �(o� <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 /> THE APPLICANT IS: (circle one) OWNER OR CON CTOR <br /> JOB SITE ADDRESS: 8 75 ����e�►wou� G�J ziP: S.S3S 6 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a specia!event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: G ve��„� � }�K.�;e S Z�. ��T'�ie�PHONE: (home) �5 l�76�'�3 <br /> l,�w� 1,�� (work) <br /> MAILING ADDRESS: �7� v���►t�sv� I�v� CITY: 0 W�,� ZIP: S�s6 <br /> CONTRACTOR: �'��'�e�,1�e.. Tqy��,.S ��,mts PHONE: �63— ��79—°3,� <br /> CONTACT PERSON: _ �u�c,,, � MOBILE/PAGER: 76 3-y7q- a3�I <br /> MAILINGADDRESS: 1�/— R4, s-�- CITY: Gd�e{'� ZIP: .S�_3$? <br /> STATE LICENSE: # ��$ EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: Ct,tn�il� SH����►P� ,--J4"sSvc i�I�S PHONE: 65I'��{`�-5�� <br /> MAILINGADDRESS: 3�13�1 L�„�v,n /� N CITY: S�WvcH`ttiJ ZIP: SSI�6 <br /> NAME: G eo�� C�vtal y REGISTRATION: # �3 v�9 <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and ermits! <br /> PROPOSED WORK(de cribe in detain: R.�w►.�� 2,�}rc, �'k�}c�u¢� �M.Fs� <br /> S.a��- �N vvs�r� /,1��cT �..t1� . .r„„��I,t I �vevv i.w!k� �t�.su� ��r (-it���ww� <br /> STORIES: R-u�^bIR.✓^ SQ.FEET OF EACH FLOOR: �v�� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��5���(� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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•,���_ �iZ � DATE: 6 �� O <br /> 31 <br />