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r . � <br /> Total Fee: $ ! ��� �/ Date Received: o�� /� <br /> Entered By: Permit#: �� �� l, <br /> CITY OF ORONO - BUILDII�IG PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> _ _�=�--�___ <br /> THE AFPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: _i[:`� ��`1G�_m l'lc�_�.�e '� ZIP: � � � I <br /> Will this be a�'arade 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 evend. 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: �,1 � {�� �-���� PHONE: (home) ` " � ;��-7`1 <br /> (work) <br /> MAILING ADDRESS: j��j L���; L1�;��1,� CITY: (,:��;,�.� ZIP: � <br /> CONTRACTOR: .:�1:�rL ���, PHONE: )�,-�. jZ�.(1;G-�,; <br /> CONTACT PERSON: `r',�,,.,�,�:,_ �-�M1`;�,, MOBILE/PAGER: �-5, �Z.�i;�;f;'� <br /> MAILINGADDRESS: �cc�,�.i„ [, � �r-�,;�_. #7`t7 C1TY: t�',�, i/�. „ (�_ZIP: ,. _-� <br /> STATE LICENSE: # �,�,�;j� 3�.?_ EXPIRATION AD TE: _���r;;�� <br /> ARCHITECTlENGINEER: �, ���} PHONE: <br /> MAILING ADDRESS: �`— CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) ��( <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �-� ,LL-E — � t \(.�, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �7��_ �c `� <br /> I hereby apply for a building pernut 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 pernvt and work is not to start without a pernut;and that the work will be <br /> in accordance with the approved p�a . <br /> ��� <br /> APPLICANT'S SIGNATURE:������� � � DATE: �I r�'������ <br /> - ; <br /> 31 <br />