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.. <br /> ! ' <br /> Total Fee: � Date Received: <br /> �ntered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (please�ri�it al!i�ifof•nzatioi�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (ci�•cle one) OWNER OR ONTRACTOR <br /> y� � ^ I� I�,, <br /> JOB SIT�ADDRESS: � �v ��C,ll,l�'C�J c/���.1�(J C��-� ZIP: .5 ��S �o <br /> Witl this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes �o If}�es, a special event perniil is reqari�ecli�vith Police Departmei�t and City Cauncil approval <br /> 60 days pr ior to t/�e event. Sl�zrt�le bi�s sei•l�ice rvi(1 be reqz�ired�rnless applica�7t der»onstrates <br /> sarfficie�7t a�-site pni•Icing is available. 1Von-pern�ittecf evenls ivill not be alloti�,ed. <br /> NAME OF O�VNER: ��J�1 �`e m-�� PHONE: (home)GI�a- ��3�7�3� <br /> `�� (�vocl<) <br /> MAILING ADDRESS: � `�-O s b�0�-L%N � Y�° CITY: l�,C�'� ZIP: �S�S(� <br /> CONTRACTOR: �-�i 'I�(, L� O��lv PHONE: 74a3--��3 �3��1 � <br /> CONTACT P�RSON: o�-L� MOBILE/PAGER: �,i�-�7 l���c��I <br /> MAILING ADDRESS: ( "7 S�5 C�y �y CITY: "'L�mo�� ZIP: _�_�5�y 7 <br /> STATE LICENSE: # S3�� �YPdRATION DATE: 3 - 3�•-��a c�� <br /> ARCHIT�CT/Ei�'GINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessoty Structure <br /> Move Home RemodeVAltecation (ie: Siding, Windows) � <br /> Ar.y earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descr•iGe i» rleta�n: -I�G��S�-tton) E� N�Ix.S� ����Y9 5�� ��.Q�f�� ��'�� <br /> �C"�b��--��-� zr►s��-e �rcler�, fe� l�-3o��t}.�n�Sp��ts" nNt.c�bc3�' l ��r�c�� <br /> STORIES: � SQ.FEE�'OF EACH FLOOR: <br /> 1V'O. �F BEDRO01Vi�: GARA�E �'TALLS: A'I'TAC�i�D I�ETAC�iE�_ <br /> a� <br /> ESTINIATED CONSTRUCTION VALUATION(excluding land): � /��� <br /> � <br /> I hereby apply for a building permit and I ackno�vled¢e that the information above is complete and accurate; <br /> that the�vork will be in conformance ���ith the ordinances and codes of the City and �vith the State Buildin� <br /> Code;that I understand this is not a permit and work is not to st �t w'cho a perizlit; and that the��ork will be <br /> in accordance �vith the approved Q,lan. <br /> APPLICANT'S SIGNATUR,: � �AZ�: C>`-�'��� �`-' <br /> 31 <br />