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�� � �,.c�l <br /> ,� `; �,� <br /> , � � � . �`�` c� <br /> .�� f� <br /> .;.� -..�� I,,�� <br /> '�,;' Total Fee: $_ 3,(, DateReceived: (D'1 ��, �1'I�"^ <br /> � l�I i l�C� ,o�i I � <br /> Entered Ey: rermit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plense print all inforrrentioii) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci�•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �(' � �Y0`'�`� � d ZIp; �S 3 <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 required with Police Deparbnent and City Council approval <br /> 60 days prior to the event. Shuttle birs service wil!be regzeired iGnless applicant demonstr•ates <br /> sa fficient on-site parking is available. Non-per•n�itted events ivill not be allowed. <br /> NAME OF OWNER: Ga Y y �jj �vr /� S PHONE: (home)c/s� �lQ� •�-��'`� <br /> n (work) <br /> MAILING ADDRESS: �� � ,U r����+ f1'c� CITY: aN a �, ZIP: 3 <br /> CONTRACTOR: �` �- ti � a rJ��i �as�hry PHONE: ���-2 y7o i/i2 <br /> CONTACT PERSON: j�� `-� MOBIL /PAGER: <br /> MAILING ADDRESS: �a /�� x S�6 CITY: �X�/s�oY ZIP: SS33% <br /> STATE LICENSE: # �t10'r ll.tyv�.t�0 d°�, EXPIRATION DATE: <br /> ARCHITECT/ENGINF.ER: PHONE: <br /> NIAILING 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(desa�ibe in tletui�: � d d,� l o� o -� �2 <br /> �r«i< <— hf�-a�� �i�, o�� �� � f-s <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land j: � G ��U � <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�vith the ordinances and codes of tl�e City and with the State Building <br /> Code;that I understand this is not a permit and�vork is not to start without a permit;and that the work�vill be <br /> in accordance with the approved plan. <br /> APPLICAIVT'S SIGNATURE: ,�c� �l�.-�„-�, DATE: 6 7 -0 7' <br /> ;� <br />