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1 ���� <br /> �,►'� ' <br /> - Total Fee: $ 5`�� �op Date Received: r^`3�bB <br /> Entered By: Permit#: i9 /!7��{ <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 C�ONTRACTOR � <br /> _ <br /> JOB SITE ADDRESS: / �r � �� �� � ziP: <br /> Will this be a Paratfie of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �'�10 If yes, a special event permit is reguired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be��equired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��e�`T" ��~�� ����- <br /> � �`p}'�r�. PHONE: (home)��'S�:z'—,�a�- <br /> (work)` <br /> MAILING ADDRESS: ✓�J 3 �-�j -,�--���.�ITY: ��,��.osc� ZIP: <br /> :-, ` <br /> CONTRACTOR: 1-�-�s�.� �`��c+�-a� PHONE: ��.- ��� �2..E,dF' <br /> __. <br /> CONTACT PERSON: �r�� -. �=�-srrn-�.,��OBILE/PAGER: �� �i ?v,���-,3 <br /> MAILING ADDRESS: s' �'/� �5�`"� �:__ _ CITY: ��G:;,-�ZIP: �g�'"�y� <br /> STATE LICENSE: # ���v ,�'�= 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 may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��.�,�,,. �- ��-�-�,,�� ������ <br /> STORIES: j SQ.FEET OF EACH FLOOR: ��'� <br /> NO. OF BEDROOMS: �, - GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� s�• � <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 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 /> s,=, �_� � �r_;��y;��� �. <br /> APPLICANT'S SIGNATURE: �� `r � T�`J DATE: <br /> 31 <br />