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r <br /> Total Fee: $ �� , (�� Date Received: /� �/�� <br /> Entered By: Permit#: ���- O� <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 infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �773 ��2s �� � �„��` /�l, zrn: �53�/ <br /> Will this be a�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �J,NO lf yes, a special event permi�is reqi�ired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service tivil!be reguired unless applicant demonstrates <br /> sufficient on-site parking is availab/e. Non-permitted events will not be allotived. <br /> NAME OF OWNER: 'C�� � �C z,-.s v� PHONE: (home) G� /a -� �S 7�5 y <br /> (work) <br /> MAILING ADDRESS: �S�i�' ��s z 6o d Z- CITY: ZIP: <br /> � <br /> CONTRACTOR: !t� l�`l�n�-�c, d S;�I,f.c PHONE: '7�,.j--5y5'- �SS�� <br /> CONTACT PERSON: �u� C'�-��t�r e v MOBILE/PAGER: <br /> MAILINGADDRESS: Io [�ov r�� er � :�9bCITY:C�/�.� l�c((.� ZIP: �"S��.� <br /> STATE LICENSE: # �O�9'/p S(c� EXPIRATION DATE: � -;3/-O 9 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) <br /> **Any earth movement may require MCWD Review and Per it! <br /> PROPOSED WORK(describe in detain: /���.nc��)� �� �e���� .z rv���� `�c�;S-�.J <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /'7��:�G, U � <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 accordance with the approved plan. <br /> ,� <br /> APPLICANT'SSIGNATURE�� DATE: �C�'-��-0� <br /> �,. <br /> , . <br /> �,,, <br /> 31 <br />