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uzz <br /> lop <br /> Total Fee: $ (' <br /> Date Received: / <br /> G' . <br /> Entered By: Permit#: A/0cf(l`s7 <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR' <br /> JOB SITE ADDRESS: j-- i -/o)./ <br /> ✓ `1 i� ✓ A✓� ZIP: -�,`�,�:p <br /> 47) <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes X.No ifyes, 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 /> sztfftcient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: %C`/�,e(2/ ✓ fig,</ PHONE: (home) f j. J,) 094,y <br /> (work)C�/� 7 i l fC 7 <br /> MAILING ADDRESS: 2(� ;.7 '�r�� ITY: �,/-r;c o ZIP: ,.j��J33.7 <br /> CONTRACTOR: /G e ✓�✓ ��'%�✓�'/, ✓f= Ar-, L PHONE: ✓/-? /(', ,1 /.5"-- <br /> CONTACT <br /> /3CONTACT PERSON: ) l e/i ''r,)_ / MOBILE/PAGER <br /> MAILING ADDRESS: 7A j / lte6r')Y(hLt7 2.i' ,> s: '" CITY: ,�.�C0 .e�// ZIP: 3:5"• ' 3 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition i! --- 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 detail): ffilb:(,) <br /> STORIES: SQ.FEET OF EACH FLOOR: 4A,P,,2e2,I~ r 3 C' 1: <br /> L N'O. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED"t -- <br /> 1 4. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S x') ()e--e) : 4-e ,rr ,i,, ,,t: <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 yltiythe ordinances and codes of the City and with the State Building <br /> Code; that I understand this is not a plrmit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. - . ; // <br /> I %\;/ 4 r' / <br /> I APPLICANT'S SIGNATURE: 1 ( . -----j r,'✓ DATE: /.:‘,:// fc <br />