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f • <br /> � �y -7 <br /> Total Fee: $ I � �� ' � G d, DateReceived: `7 "2'��� J <br /> Entered By: � � � � Permit#: f}���p 7 <br /> _��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print al! information) <br /> ------------------------------------------------------------------------------------ ------------ ------------------- <br /> -- � <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> 1 , Q n �� � � <br /> JOB SITE ADDRESS: o��� �.o,a�t,y���po�' Q� ZIP: <br /> / - <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO If yes, a special 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: ,�� ? �,,,,.o��� `�n�Pc�� PHONE: (home) ���']q�` �'�, <br /> -� (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ►111��r1c �. ��,�\;a�,,,,5 C�s���°�'PHONE: (p�d ���1- q�f o <br /> CONTACT PERSON: �•-�� MOBILE/PAGER: <br /> MAILING ADDRESS: (o a �,.?es}- S"�'`-� S'�-�k CITY: C(n�.Sfc°� ZIP: S� / <br /> STATE LICENSE: # 10 y p�{�-1 n 2 EXPIRATION DATE: 3�3//a�d <br /> ARCHI'. � Y�� �,k ,� �.¢S i � C�;C I� PHONE: ('p 1�t - �j/0 -�b�8 <br /> MAILIl� � �"- `� CITY: ZIP. <br /> NAME: REGISTRATION: # <br /> TYPE O� �J�� � �� \� _ Addition Accessory Structure <br /> �,� ��;��.�'ji�- _ Remodel/Alteration (ie: Siding, Windows) �� <br /> ��,,n'�-C ''� nent may require MCWD review and ermits! <br /> PROPOSF ___�u��crcbe in detuin: �Qv:v� �°�q,\�S, �,.py�.,,,� ,��„� ��1�5"�� <br /> �,;�-rl��./��d �joors l �,,n.l — �P .� � „-� fl(a�.-Q <br /> STORIES: a. SQ.FEET OF EACH FLOOR:� 1 - �3�S S C�' - �(o � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED�C <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �d` o c� � <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 art without a pe nd that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: - ATE: ,1 �_ <br /> 31 <br />