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Total Fee: $ � � �- / Date Received: � '�Z'�� <br /> Entered By: Permit#: � (($0,'j <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � / / �� <br /> JOB SITE ADDRESS: :�,� ,'� � �/f ��� l�(.�/i ZIp; � ����� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �O 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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �LL'�l � f f C��� �' ��_ - <br /> � � � �� � PHONE: (home) ?�- � ���7 <br /> , (work) <br /> MAILING ADDRESS: ��� �6/�'I �✓L� CITY: U4���/I D ZIP: � <br /> coNT�cTOR: -��!: � � c�s�i � � PxoNE: �/� ,�l �0��3 <br /> CONTACT PERSON: / ; � ;F- MOBILE/PAGER: "���r�e <br /> MAILING ADDRESS: � ' � CITY: ��,f;�v ZIP: � <br /> STATE LICENSE: # (i3G'f l _ � EXPIRATION DATE: ���� <br /> ARCHITECT/ENGINEER: � � e �-klG PHONE: .�I �Q��f <br /> MAILING ADDRESS: � r ' .� � CITY: ZIP: �/ <br /> NAME: �,/��. L��r ���St REGISTRA ION: # �_ ,�� <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 i etai : � / -,�-��/� <br /> ( �1 � - - I'��„J �A/�o�s � ��/�u< < <br /> _ %��G� 6�t1 �- Sn���.5" " ' <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��f�; � � ��3„�S <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding tand): $���, ��� <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 will be <br /> in accordance with the approved plan. � � <br /> f ✓ l r'`, <br /> APPLICANT'S SIGNATURE: ��` ~ �f C r'"�� DATE: / �/ v <br /> �� �i�� <br /> �-,,—� <br /> 31 <br />