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' f V � <br /> . , ✓ <br /> ' -,:/ I ... <br /> Total Fee: $ �'�Z�'.� DateReceived: �f L"' ! � � <br /> Entered By: �� Permit#: _ i�� ` t1� <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 informatioH) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- , —�----� �-� <br /> THE APPLICANT IS: (circle one) OWNER Ol�CONTRACTOR � <br /> JOB SITE ADDRESS: "�'��4¢r ������ �- i` l 1�����_ ZIP• ���' =� T f <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No !f yes, a special event permit is required with Police Depa�•tment and City Council app,-oval <br /> 60 days prior to the event. Shuttle bzrs service tivill be r�eqzrir•ed a�n(ess applicant denzonsti•ates <br /> sz�cient on-site parking is available. Non-permitted events lvill not be allotived <br /> NAME OF OWNER �=;: � ,. � i..�F-_�-1-�� PHONE: (home)%''��-'�'/ �;�/ -,� 'r ``� <br /> -� �=: i , , (work) <br /> MAILING ADDRESS: �l:�ir/;=�. �:,� ;-,,:/�ITY: ;t:r i;_� :'�i'�`ZIP: <br /> CONTRACTOR: � �1,_i��'�� �'-.�=�.c'���>��;:._ PHONE: �i'�-- --'/ �,-;° =/� = ,'- <br /> CONTACTPERSON: �4.,;:�-z`� MOBILE/PAGER: ,,�; :�.-��-�/ ---;���� <br /> MAILING ADDRESS: `� y �l ` . ..-�,�-f'�r�;,;r,.,_ CITY: i�-t<. �:���, ;� ZIP: �-`--'�,f� <br /> STATE LICENSE: # ��,_�� ���1 f� EXPIRATION DATE: � ��-~c% <br /> ��f-t/_��'�i�r_�, a� _ _: .z <br /> ARCHITECT/ENGINEER: ��- �;;'i1-� P�.;�J+�(.=, �� r � PHONE: � �'<' — -', � -- -�"'�-; .J <br /> t� aF�•� MAILING ADDRESS:,_;�� � i-i_'��,��C's�'i w CITY: j��f'� �� ZIP: .=�-i � <br /> NAME: �{�i�; �-t� cw< ;' REGISTRATION: # <br /> TYPE OF WORK: New Home � Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: `�i?� _i�-�=� �_ �;.,: ;� , �;,� i� <br /> STORIES: � t``���� r"s ` ' �Q.FEET OF EACH FLOOR: <br /> NO. OF BEURUUMS: GAItAGE STALLS: ATTACHED DETACHED . 3 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �'-'�'<� =`�'�' <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 tq.start without a pennit;and that the work will be <br /> in accordance witll the approved plan. , ����� <br /> APPLICANT'S SIGNATURF�� � ��'r'���•'��"� ���`_�� -" �< " - <_ � <br /> DATE: <br /> 31 <br />