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� �-� � <br /> � .� <br /> b� ��C � . <br /> ��� � �� � <br /> Total Fee: $ � � � Date Received: �-- .'� � ���1 <br /> Entered By: �� ,�' Permit#: %Cc�'�j -�,-����-� ���� <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print all inforrrtation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- "...-----.. <br /> Z <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR� <br /> ,_____� <br /> ,� � � < <br /> JOB SITE ADDRESS: ,�(� �-�j ���G� �'��� �=-��-wt-P ZIP: .��Sr3 "t I <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event permit is required with Police Department and City Council 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: �G'�"'1 •� �"1 rr�"� C--i,��r��1�--. PHONE: (home)�I Z ��'7 �- �I�i � <br /> � (work)�1 Z '74'7— �J 3 5' <br /> MAILING ADDRESS: ;�(��� ��-z,<z I��,�.�1� CITY: �r�cz�v ZIP: S��"3`i <br /> CONTRACTOR: `_ >C'i�t^A- �'I�'-� `.�.-s'�% ��- PHONE: �l Z a�7 e _.�,� �-�..- <br /> CONTACT PERSON: ' i� E�. ( MOBILE/PAGER: <br /> MAILING ADDRESS: �?;�b�5 �• n�-tl.� ? hu0��'.=: CITY: (��;'L..�.� ZIP: S�S"c t-��>"~� <br /> STATE LICENSE: # �►�;, EXPIRATION DATE: 3 �1 ��-c-v�' <br /> ARCHITECT/ENGINEER: Q� �( (i�<��r-,,,�S��,7a���=a,�� �j���PHONE: `� s a �e l�`� � � �-' <br /> MAILING ADDRESS: 1�l $c� (-{,�,tz'-(��> D� ,',,���r(�� CITY: �`1;,��-f�����,� ZIP: s`S� <br /> NAME: ��; (� (f��c��y�,�-�> REGISTRATION: # E;�_-. i� -?�a 5 4'Y i' Z-- <br /> TYPE OF WORK: New Home x Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) <br /> **Anv eurlh movemertt muv r'eyuire MCWD Revictiv and Permr�! <br /> PROPOSED WORK(describe in detai�: ��' —" � �^---� ��=r r�'�,+:,. � <br /> � �/ ( � <br /> /�'L�[� �'"'t (;.l� N k't�y �7'.-`(�- <br /> _ � ) �r � �c��! 5� F�,� <br /> STORIES: tr- SQ.FEET OF EACH FLOOR:�r't,�{-�� �• � r 1"� �7-���'l i 3 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �`1� C�-�% <br /> I hereby apply for a building permit and 1 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 to start without a permit;and that the work will be <br /> in accardance with the approved plan. ,�} ", <br /> --------- �, <br /> APPLICANT'S SIGNATURE: � DATE: �� � <br /> � � <br /> 31 <br />