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� <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR Cc(�NTRACTO�t <br /> JOB SITE ADDRESS: /G� J/'h��� �'�-� O/Z Ji�v /�11� ZIP: SS��� <br /> Will this be a P�.rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes ���To 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: /"'�` � �lI l G vLL PHONE: (home)�/����/�-��SJ <br /> l (work) <br /> MAILING ADDRESS: f(�� .J�ir ��G� �✓-c CITY: v�'( �r�v ZIP: SS3 J ! <br /> CONTRACTOR: f' l/ 5��� ��-�;-,��r,_u�, f �4� PHONE: 7�.3-y7�` _�`���,t,� <br /> CONTACT PERSON:�� �� ( �,;( �v�-, MOBILE/PAGER �� �� �� � - �33G <br /> MAILINGADDRESS:,_S/yS 7n�tusfr.-�/ %�.s`�.t`w3 CITY: ���r�� i�'/u.;, ZIP:S.S�3Sy <br /> STATE LICENSE: #3ot�I 7 EXPIRATION DATE: 3–�/ –�o�%�" <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 review and permits! <br /> PROPOSED WORK(describe in detain: �,� ,, � ��, �2-r�n� 11Li;lr�! �a�Qs <br /> f�o �-c 5� ;.Z.L �>,o.��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �, DETACHED <br /> 7 , �_t, <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J_5 . �� :.� <br /> �— <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 confarmance 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 start without a permit;and that the work will be <br /> in accordance with the approved plan.� <br /> i� <br /> APPLICANT'S SIGNATURE: / -G�Gr�-- DATE: .Tu�u /S �-vo? <br /> 31 <br />