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Total Fee: $ //, 308. 9 S Date Received: /—��{—� � <br /> , Entered By: Permit#: �1�7/� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> _- — - __ — ____.—_---- - <br /> ____ <br /> ------- _ ___ _ <br /> (please print all informatto�z � ������ ������� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle oiae) OWNER O CONTRACTOR � <br /> JOB SITE ADDRESS: �a�'jS� �/'�'I'�c�r !� `� ZIP: 5��5i <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If ves, a special event per•mit is required wit1�Police De��artnient ancf City Cowvcr!approval <br /> 60 days prior to the event. Sh�uttle bus se��vice tivilJ be reqt�ired unless applicant den�znnstrates <br /> szrfficiej�t on-srte parking is available. Noy�-permilted events ivill not be allotived <br /> NAME OF OWN�R: '/G'm /�E/�ELti� ��vc� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �6/;c',2 j C�/'/�/� ��'JEs PHONE: C��- ���- ��-�`/ <br /> CONTACT PERSON: �03 � MOBILE/PA,�ER: <br /> MAILING ADDIt�SS: �_Sr;s ���, GvO�%�f �� ciTY: �1�?/I�JY�IP: �� S��� f 7 <br /> STATE LICENSE: # �� �v EXPIRATION DATE: ._��� o-��� <br /> ARCHITECT/ENGINEERtiS,�!'�2,�—ifi�jcsi6.� �c PHONE: ��f� � 70- �'�.,"�' <br /> MAILING ADDRESS: �C�,/r�N^ -sT -r�X CITY:fYl'C�J c'r ZIP: S S..s''��/ <br /> NAME: --S����z= I2EGISTRATION: # <br /> 'TI'PE OF WORRI�: New Home � Addition Accessory Structure <br /> Move Home Remodel/Alteratioil (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PRO�'OSEll WORK(rlescriGe ii2 detai�: ���=�� ��� �(�� ;. <br /> STORIES: � � �S/Y�T" S�.FEET OF EACH FLOOI�: <br /> NO. OF BEDROOMS: `;- GAI�AGE STALLS: AT'I'ACI--�ED� DE'I'ACHED_ <br /> �ES'�'I1VIA'I'ED CONS'I"IZUC'I'ION VALUA'TION(excluding land): � f�.���,�0�' <br /> �� <br /> I hereby apply for a building permit and I acknowledge that the inforulation above is complete and acc�irate; <br /> that the work�vill 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 ancl�vork is not to start without a permit;and that the�vork will be <br /> in accordance ti�ith the a��roved plan. <br /> AYYLiCANT`S S�Gii1A'�U�l�: �15��(�`Lll/.� � �3A�'�.: C— � �- C' � <br /> ��� �,�..e. 2 2��v��-� >> <br /> Zv" ot� 3 <br />