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Total Fee: $ �%��`� �.- �_ t.�,f� Date Received: /�J �� .������' <br /> Entered By: �'�'v�_ Permit#: �+ �,'j ��j` <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �1 All information must be submitted in full before plan review will be started. <br /> � �`� lectse f uzt al/i�a ormatio�a <br /> ;A`� (� n�' .f ) <br /> tJ`n� . '----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (crf�cle o�re) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �L S��``> J�ti U��:>��; � li.?. ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � yeS ❑ �10 If yes, a special eve��t perrriit is re�uired widh Police Depardrrrent and Crty Coarncil approvn! <br /> � 60 days prior to the event. Shuttle birs se��vice�vill be reqzrir•ed unless applicn»t demonstrates <br /> .� sztfficier�t on-site par•%ing is available. tVor�permitted events tivzll not be nllor��ed. <br /> i:���N ���C�� — 1v�T` ���� '✓! �v�1 '_'� <br /> NAME OF OWN�R: �� !� ��g{ L-�-I PHONE: (home) <br /> (work) <br /> MAILING ADDI2ESS: �I N �/�-e— CITY: ZIP: <br /> CONTRACTOR: S��J�-����J 1�- . r �"r�'� PHONE: `�� �- �7� ����� <br /> CONTACT PERSON: �"2 tFY�-, G�-s%%��-s�,i MOBILE/PAGER: r�c Z ��� —o��iS� <br /> MAILING ADDRESS: ��rd� �c,n, ��7� f3lGa CITY: 5`I' �rl� �,C<;�� ZIP: ��� <br /> STATE LICENSE: # o�- !-'�L-� EXPIRATION DATE: 'O"1 <br /> ARCHITECT/ENGINEER: �%�ti{:.z r-�� ��:�,;.� � °hv.� u�;i.,. �'$ONE: % �= `1�I ���=�c�'/ <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: �- 4<-�`> � ���'-^J REGISTRATION: # 1��;�� ^����1 <br /> TYPE OF WORK: New Home Addition Accessory Structuce _ <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> � P�2�2�'OS�D�I��?���f�scf•ibe i�r�detaa�;: �=<-1-t �;�i c�� L��y��,��C� �r«C , <br /> � � S�.FEET OF EACH FLOOR: �"� 7` �'`' ���� <br /> STORIES: � � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED 7/ <br /> 25,b06 — <br /> ESTIIVIATED CONSTRUCTION VALUATION(excluding land): � ��s���- '�¢A�� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accucate; <br /> that the work will be in conformance�vith the o inances and codes of the City and with the State Building <br /> Code;that I iu�derstand this is not a permit and� rk i not to start without a permit;and that the work�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATL'RE: , '� ,�'"✓-----_ DATE: �n � v�}'' ��-��° <br /> 3 <br />