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. � 'l��� � <br /> �1' i - )' <br /> Total Fee: $ I , Date Received: �� � ��� � � <br /> Entered By: Permit#: -�� �� <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> A❑ information must be submitted in full before plan review will be started. <br /> (please print a[l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: r` �-5� /�i�'f1C�t.'�(,/ ���) ��; ZIP: <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � If yes, a special evenl permit is required with Police Department and City CounciJ approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: ��IGG ��"/�(iS/� PHONE: (home)�'S2-� -�'��� <br /> (work)(�,/Z - z�U- �S�S�� <br /> MAILING ADDRESS: ��� �� CITY:G S �� ZIP: ��;�� <br /> CONTRACTOR: -���° ��LS��`-/ PHONE:���Z � Z�'a--�,��� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �l� � CITY:C� 5��: S�3 Z 3 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER:�I� ����,e PHONE: �/Z- �ZZ - �'C)�( <br /> MAILING ADDRESS: �L�, �(sf ,�U� S , CITY: /�/�'/5 ZIP: �¢G� <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�: �� ��oJ �c.C�.f�•�-Li C�Cd�.O�,�. <br /> � ' l. c-C i'z — iY��G✓ � T�� ��/���/�L— <br /> STORIES: l. ,S SQ.FEET OF EACH FLOOR: //s�� <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_���� <br /> 1 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 w�er ' not start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �� � Z� �� <br /> 31 <br />