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r ' <br /> � '� , <br /> ,�v' ', <br /> Total Fee: $ �/7(�-CP q Date Received: =�! ��7��.��p <br /> Entered By:��4� Permit#: ��'� � ���';�k''�:>{� y <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � C� ) G� <br /> JOB SITE ADDRESS: ' �� J ,b� �2� c�t ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event permit is reqa�ired lvrth Police Depar•tment and City Council approva( <br /> 60 days prioi�to the event. Shzrttle birs seivice tivill be re���ired u��less applrcant demonstr•ates <br /> sa fficient on-site parking is available. Non-permitted events will not be allowed. <br /> / <br /> NAME OF OWNER: � V� �. �E � PHONE: (home) _ <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> � <br /> CONTRACTOR: - vvt - Gf" � FS I i,� i�� ( �l PHONE: �"/�a� v�7�-D���� <br /> CONTACT PERSON: ;� MOBILE/PAGER � ,�1�- D o2� <br /> MAILING ADDRESS: L • CITY: , , �i�; "gv ZIP: .�S�{ Co <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 m�y�,' r quire CWD review an per its! <br /> PROPOSED WORK(describe in cletain: ,A��(G"1` ��v� ��, �G���r z-��✓L <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACAED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): ���(�,. CC>�� <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 confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand tt�is is not a pecmit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU DATE: -7 �� � <br /> �t <br />