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� � � '�► j�j����,� <br /> . . �� <br /> Total Fee: $ :�>`�4•D�� Date Received: � � U�3 S <br /> Entered By: Permit#: �j1/Z fv/�(n <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease p�•int all infa�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> _...._.____....___.. <br /> �-. ___,�� <br /> THE APPLICANT IS: (circ[e one) OWNER OR�CONTRACTOIj�� <br /> - _____--JS�3.--� <br /> . _ . / <br /> - <br /> . --- <br /> JOB SITE ADDRESS: ;" -`' Z� �' �� �v� ` ZIP: ' <br /> Will this be a P rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specia!event permit is re�uired rvith Police Depar�tment and City Coa�ncil approval <br /> 60 days prior•to the eve�t. Shuttle bzrs service will be r�egzrired a�nless applicant denzonsh�ates <br /> si�cient on-site par�king is available. Non-permitted events�vill not be allotived <br /> NAME OF OWNER:�G'��>�'����L ✓���RQ/S�HONE: (home) �- � -`�`t�"�'t L I <br /> �/.„ /G �/ (work) '�--4�"�'�-5y�7� <br /> MAILING ADDRESS: � ���J �- �--�'/�, CITY: _��� L�i�� ZIP: � :5 5—� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <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 rev'ew and permits ! <br /> PROPOSED WORK(describe in detain: ' � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT�CHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �G�i��'�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-n inances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit nd �k is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. , <br /> t� APPLICANT'SSIGNATURE: ���v DATE: � ��' <br /> ✓ <br /> 31 <br />