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• , i <br /> f <br /> Total Fee: $ DateReceived: �-a8-�� <br /> Entered By: Permit#: �� f Q 5 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plec�se print all i�aformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cit�cle o�ie) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: I� �� J �a-�S �J�- ZIP: <br /> Will this be a Parade of Homes, Remodelers 5howcase Home or other Display Home? <br /> ❑ Yes �No lf yes, n special event per•mit is reqi�ired tivith Police Departrnent and City Coi�ncil approval <br /> 60 days prior to the event. Shuttle bus service wil/be required unless applicant de��rxa�strates <br /> suffcrent oi�-srte parking is available. Non-per•ir�rtted events wi/l not be allowed. <br /> NAME OF OWNER: UGZ� C�(�C�f PHONE: (home) <br /> (work)(�!�'S Fsl -7�OU <br /> MAILING ADDRESS: �� �(G S Pa- �-e� CITY: ZIP: <br /> CONTRACTOR: �G��G�nc.e� G/or1�P [NU✓�f PHONE: 7�3��G—�/U7� <br /> CONTACT PERSON: c+�o✓� MOBILE/PAGER: � <br /> MAILING ADDRESS: �/7�S cu o ��' CITY: o��t ZIP: SS.3 7�/ <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF �✓OR�':: New Home Addition Accessory Stracture <br /> Move Home Retnodel/Alter 'on (ie: Siding, Windows) L-� <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(clescribe in cfetain: Qe v►�w�e I f�' Flvu� �n��lar �c/G1�$ <br /> STOI2IES: � rl SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 7 GARAGE STALLS: ATTACHED DETACHED � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /S���� o U <br /> I hereby apply for a bui Iding permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork«�ill be in conformance�i�itl:t11e ordinances and codes of the Cit�� and���ith 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�vork will be <br /> in accordance�vith the approved plan. <br /> APPLICANT'S SIGNATURE: �+ � DAT�: ����� <br /> �t <br />