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� <br /> . <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 informatioiz) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �7i� Silvcrv�e� d� ZIP: <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specia!event pei�mit is r•equired witl�Police Depa�•tment and Cily Coarncil appr•oval <br /> GO days prior to the event. Shutt/e b�rs se�•vice will be reqa�ired unless applicant demonstrales <br /> szrfficient on-site parki��g is available. Non-pe�-mitted events bvill not be allowecf. <br /> NAME OF OWNER: Coo��nrT�,► � Bar� c.J��-�ke�,. PHONE: (home) <br /> (work) 6�d- 7yl-0?9.10 <br /> MAILING ADDRESS: .f�a.r.� o� 71S S��Ne��+�Cw cI�CITY: ��'O►�p ZIP: <br /> CONTR.ACTOR: ,�,[[;Se,.otoM ow�od /.�.T 4x�e/�o�s PHONE: 6�?�aal-��/8 <br /> CONTACT PERSON: ��Ik 5ebmde.r MOBILE/PAGER: 61 a�3/ -3 ?/� <br /> MAILINGADDRESS: t7�5�5� r`�,.N� Sf .uw CITY: �q,,.rse� ZIP: ,$3$03 <br /> STATE LICENSE: # �3�8 3/� EXPIRATION DATE: 0 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Ho�i�e 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 detr�i�: 7'¢c►� o�F'f ojc� �oo f rJ- Qen/o�e �..�/ <br /> •�]e�•� c�4 r S�UI I�C+ rOcs1' <br /> STORIES: � z � SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED_ <br /> 0 <br /> ESTIMATED CONSTRUCTION VALUATION(exclucling land): � ��, v 57� ° <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the Ciry and with the State Building <br /> Code;that I understand this is not a permit an �vork is not to start without a permit;and that the work�vill be <br /> in accordance�vith the approved plan. <br /> APPLICANT'S SIGNATU1tE: DATE: ga 06 <br /> 3l <br />