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, j �., <br /> � � . � ���',� � � �3.e �/�d� �� �1 <br /> , 5c� � s � <br /> �� 3/ --�v�d <br /> Total Fee: $ �(y��� � Date Received:��� t� -� <br /> : Entered By:� ^r� Permit#: /.� ��q�)�� �] <br /> ��������� � � CITY OF ORONO - BUILDING P IT APPLICATION <br /> All information must be submitted in full bef re plan review will be started. <br /> (please print all infor ation) <br /> --------------------------------------------------------------------- ------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ���G�S ��`I � �� � �' �`�`�� ZIP: � �� �� <br /> Will this be a Parade of Homes, Remodelers Showcas Home or other Display Home? <br /> ❑ Yes � �10 If yes, a special event permit is reguii�ed w th Police Department and City Council approval <br /> 60 days p��ior to the event. Shuttle bu servi ce will be required unless applicant demonstrates <br /> suff cient on-site parking is available No permitted events will not be allowed. <br /> NAME OF OWNER: � `"� �'�`� ��Cr IS c PHONE: (home) �5� ���- � 7 7�1 <br /> (work) 4�� �-o( /� �/ <br /> MAILING ADDRESS: �-4- �%� �u Sl�� i2� ' ITY: /����^i-� {"l4 ��� ZIP: ���5z� <br /> CONTRACTOR � �" `� � �%� I--�� � PHONE: �l�� ��1 /� 7/ <br /> CONTACT PERSON: OBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # E IRATION DATE: <br /> ARCHITECT/ENGINEER: �l� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: GISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure '� <br /> Move Home Remodel/ lteration (ie: Siding, Windows) � <br /> Any earth movement ma re uire MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: ( c —Gts"�"� S ��e �f vs.e <br /> � U C�/� .� c� J (!r� c�� C ri�„ <br /> �i� �j(/l G S ��� lj Ct r v� <br /> STORIES: SQ.FEET OF EACH L OR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> r= �-7 <br /> ESTIMATED CONSTRUCTION VALUATION(excl ding land): $ ��S C� <br /> I hereby apply for a building pennit and I ackrya�+te' ge tha the information above is complete and accurate; <br /> that the work will be in conformance wi,tkt�'the ordinances nd odes of the City and witl�the State Building <br /> Code;that I understand this is not a�rmit and work is�t to st ithout a pennit;and that the work will be <br /> in accordance with the approved�ilan. <br /> � /'� � <br /> APPLICANT'S SIGNATU�: r DATE: 7�� � � �� <br /> 31 I! <br />