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� <br /> r <br /> Total Fee: $ � 7�� ��7Sr DateReceived: i,:� � (`J U <br /> Entered By: �,��'fi Permit#• �/t,}`( `3 L� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full befot•e plan revie�v will be started. <br /> (please print all i�ifot�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SIT�ADDRESS: .�� ��G� � �� ���� /i/G , --- ZIP: Jy.s3j�,�, <br /> Will this be a P rade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes ��O lf 1-es, a specin!event per�rJit is regcri�ed ivit/a Polrce Departa�e��t arzd City Cotrnci/approvpl <br /> � 60 dnvs prror to the ei�ent. Slautt(e bus service rvill be reqa�ired iri2/ess applicant derr�onsb�ates <br /> szrfficient or�-site pnrlcing is arailable. ���'on-pern�itled eve�Tls ivill not be allolnec% <br /> C�// <br /> NAMEOFOWNER: �� z�� �r,��%��s" PHONE: (home) �/� - 7�7-35/S <br /> (�vorlc) <br /> MAILING ADDRESS: �l�'� �' ���'A�� i✓a CITY: ,� "' C/-1-�'_ ZIP: ,SS.s'S,� <br /> CONTR.ACTOR: �( c '�-ri ���c_r.�- PHONE: )��- �7� - 3 3�� <br /> CONTACT P�RSON: � � 'S" < ti� MOBILE/PAGER: �:i,1 - 7/P— �'13.� <br /> MAILING ADDRESS: /7S�s' l�' i1<� �y CITY: �,,�,�y�-/� ZIP: S�S5�7 <br /> STATE LICENSE: # ��S� �YPIRA'I'ION DATE: � �� - c' 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI'TY: ZIP: <br /> NAME: I2EGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Altecation (ie: Sidi�lg, Wi�ldows) <br /> Ar.y earth movement may require MCWD review and per;nits !.. <br /> PROPOSED WORK(descr�ibe in dc�tai�: ��y ��`r� �-�->�'� ����lr (�� ` i�- H��'����" <br /> � ,; <br /> 5 �. ��`1�:�, ��.�%� .�'�.�;lc�f <br /> STORIES: � SQ.FEE'I'OF EACH FLOOR: <br /> NO. OF BEDROOIViS: GARAGE �TALLS: ATTAC�I�ID DETACI�ED_ <br /> , c'�_, <br /> ESTii�'IATED CONSTRUCTION VAI.,UATION(excluding land): � � � ��� ' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vock wi Il be in conformance �vith the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and�vork is not to start without a permit;and that the�vork will be <br /> in accordance �vith the approved plan. <br /> _ <br /> APPLICANT'S SIGNATUI2E: DATE: �G � ��'�' <br /> 31 <br />