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Total Fee: $ ��.g„s Date Received: a �a� '�� <br /> Entered By: � Permit#: ,� //�g...� <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 /> -- / -�� <br /> THE APPLICANT IS: (circle one) OWNE� OR CONTRACTOR � <br /> _ ._____...___....__ <br /> JOB SITE ADDRESS: �7 7 5 :S�°r�����1-/�'�L� , L r o rti �� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ I�es �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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: � � �(c�� c., 1�,��,� PHONE: (home)y 5 Z � �/J�� %�J <br /> -T <br /> (work) <br /> MAILING ADDRESS: lZZ� S`����� �.-,�,-r CITY: C� ;,�;;;;'�, ZIP: <br /> CONTRACTOR:/i� . . � r� � ��u � ����-1� ��' PHONE:�-6� -y7.5—Z S�� ,' <br /> CONTACT PERSON: Le��, �'l���.�, `1�c. MOBILE/PAGER: �/� - _s9` -���� <br /> MAILING ADDRES5: y,��� �;��,�,w,�_� L�r� �� CITY: F� ,� �.; ZIP: �SS- %�� <br /> STATE LICENSE: # ,f G� -3 � EXPIRATION ATE: G'„/ �,a,�-, f <br /> ---� <br /> ARCHITECT��FNGINEER: C Iu-�< ���5 �c,�r � �h;�c. 'PHONE: L I� - _3 j `� -�% I I% <br /> MAILING ADDRESS:� �/ /_ ,i� CITY: �nJ,:�hr-, �_�/J_ZIP:��s y0� <br /> NAME: uc � � 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 /> PRO OSED WORK(describe in detai�: � ;� C�C�a �. � S � �r<-� c� ��� <br /> , <br /> � ��rL,' �; `� -, �,C' ' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��-�, ��' �� c��_ c� ��, <br /> 1 hereby apply for a building permit and I acknowledge that the infarmation 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 pennit and work is not to start without a pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: < l� DATE: � ' ��v � <br /> r <br /> 31 <br />