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j � .. � �� <br /> . � � - �/�,� <br /> �y I`' ( lX'� <br /> � <br /> �P_I ' � ,,� � `Iy� n I� <br /> Total Fee: $ � I �"' ��� � Date eceived: 3 -a�-� 7 <br /> Entered By: , � Permit#: �/p851 <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 /> -- �-- - <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB siTE avn�ss: Z��D t����nu7 �Z�� z�: 5533 t <br /> �'P zD z4 • t 1`i• 2�3 -z3-ooZA <br /> Will this be�rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and Ciry 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 a[lowed. <br /> NAME OF OWNER: M�-pr�� d� �+�7ti1� �YF PHONE: (home) SZ•�7�•010 7� <br /> �Work>9sL• 3-��{0 3' <br /> MAILING ADDRESS: Z(oBC� �tt�V4SA�T � CITY: ��CQS�IZ ZIP: 5533 I <br /> CONTRACTOR: qu�i�l� 1:o�5T�.UC"i'=0+.� 1-1�1G PHONE: b5�-2Z8'4/OZ <br /> CONTACT PERSON:S�F �=1.11C�L MOBILE/PAGER: 6$I •�I$-3q$� <br /> MAILINGADDRESS: '140 GRA�l1D d1/� CITY: �� I��u�— ZIP: SSIOS <br /> STATELICENSE: # $'Zl0 EXPIRATIONDATE:3 31 Lbo <br /> �SZZtU4.R :AV'rl-��U`f�C- CO"��� - PHONE: �I'�S'4��Z <br /> MAILING ADDRESS: _7�D CyeA�ui� A V fi CITY:S�-. I�W�- ZIP: �$'!�` <br /> NAME: StD lr�V� REGISTRATION: # S Z l� <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 permits! <br /> PROPOSED WORK(describe in detai�: � � �°tfiT��� G C5�" <br /> Q�t.�. �.�t.� o?• 3� ��. +�e��rr� ��c�c.�s�'��) <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 5d� O�Q' <br /> ev <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 c s of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not t tart without a permit;and that the work will be <br /> in accardance with the approved plan. l <br /> � i <br /> APPLICANT'S SIGNATURE. _ ��� � DATE: lP� O <br /> �" <br /> 31 <br />