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� � �J /v 0� (� J �l,c�s�- <br /> � <br /> Total Fee: $ Date Received: ; ; i� �,_.�,- <br /> Entered By:�,�� j�:- Permit#: .� i; �` -', � <br /> T_' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pleuse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 13� D S PQ�� P'L��. zir: S S (;�f ? <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special eve��t pern�it is r�equired with Police Departrnent and City Council approval <br /> � M fly� 60 days p�•ior to t/�e event. Shuttle bus se�•vice ivil!be reqzrired u��less applicant dernonsb•ates <br /> sa�cient on-szte parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: T��`��'� ��15T��D^� PHONE: (home) 6 lZ °�6y-dQ�s <br /> (work) 5 tp rn� <br /> MAILING ADDRESS: �!�ZD L-D R1 N U �� CITY: I'�h1N N-e�0.�Ss�►ZIP: �6y <br /> CONTRACTOR: 'S�I��''t WDO� �\ �'�� HONE: ,/ <br /> CONTACT PERSON: bd MOBILE/PAGER: b�Z 5�y- Bd 1 ) <br /> MAILING ADDRESS: _�,,�,�•� � A g��-• CITY: ZIP: <br /> STATE LICENSE: # � EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: K.� �I'.¢�a�/� PHONE: �?3 g�� ���2J <br /> MAILING ADDRESS: 4O � r'�ST L,.Ke. 31". CITY: _�,�p�i4 ZIP: SS 3 q( <br /> NAME: REGISTRATION: # <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 detain: /v ¢-� '�,S���r�. <br /> STORIES: �•D ' SQ.FEET OF EACH FLOOR: /y��'l )61 S/ 21?� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHE _ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7�0� bd� <br /> lJ.�/ �'I/� ' �"L' <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with tt e ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit a 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: DATE: �� ZZ - �� <br /> ,� <br />