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� <br /> Building Permit Application #`� <br /> Total Fee: $ Date Reo v�: <br /> Entered By: Perm�t#.�'� <br /> Reason(s) for denial: ,C.�// H aitS <br /> CITY OF ORONO -BUILDING PER s ppi.j['�e TTnN �.�•► s,�d_��.n <br /> All information must be submitted in full before pla��view w'��1�„S�c}�ate:_��,/�G <br /> (please print all information) `i"�— <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �� v�7 /(0�/'r� �^� �l`c P ZIP: <br /> 0 <br /> WiU this be a Pnrade of Homes,Remodelers Showcase Home or other Display Home? <br /> . ❑Yes �NO If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permined events will not be allowed. <br /> NAMEOFOWNER ��c� 1 �r�,eTT PHONE: (home) �!Z -�8,,3-r/���74 <br /> , / (w�ic)76�-75�1/za�x�' r2 6 Z <br /> MAILING ADDRESS: I��7 N'e�-�. �m�/' CITY: ZIP: <br /> CONTRACTOR: �,�,,a��_�� /��n,s� PHONE:�/Z-�%l'�5`� <br /> CONTACT PERSON: . MOBILE/PAGER �/Z-g�9-�7 c�,� <br /> MAILING ADDRESS: 9 .¢..,,���/s �1��. CITY: ��,� �� ZIP:�-�s3�y <br /> STATE LICENSE: #,�o y���l� EXPIRATION DATE• 3/3��' <br /> .� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CTTY: ZIp; <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �;� Accessory Structure <br /> Move Home RemodeUAl tion(ie: Sidin g,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: 2$'�3Z ' L�f�-a C��� , �r <br /> STORIES: I SQ.FEET OF EACH FLOOR: �� b <br /> NO.OF BEDROOMS:�_ GARAGE STALLS: ATTACHED Z. DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(eulnding land}: S ��3�5�� <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 conforn�ance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pernut d work is not to sta�t without a permit;and that the work will be <br /> in accordanc�with the appmved plan./ <br /> APPLICANT'S SIGNATURE: -` b �- DATE: � /� p <br /> • 31 <br />