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. <br /> Total Fee: $ � �;�,S Date Received: / �� <br /> Entered By: `yZ�� Permit#: �OD 8-� �— <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 inforrrzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- <br /> � _ _. <br /> THE APPLICANT IS: (circle one) OWNER�OR CONTRACTOR <br /> ____/ <br /> JOB SITE ADDRESS: ��J L '�' � ti'i �'�n� �a-C�� ZIP: � � .`��� � <br /> Will this be,a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ I�es �NO If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior•to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: '1���-�' d' �1'I S 1"P�V'✓�' (�� PHONE: (home)�J�'`f��- ���"�j� <br /> , � � (work)� � � ' 7 7�J� <br /> MAILING ADDRESS: :���(� I�U��V i,�� I � CITY: �_ �(� ZIP• �_�'� G , <br /> CONTRACTOR: ��4'c ��"N v c'��� PHONE: r�j:S� ���� _ G �-f-(�'1J- <br /> CONTACT PERSON I�r� � �'y�l�e l�i MOBILE/PAGER ���`�- ;�3'?- `��5� <br /> MAILING ADDRESS :�� �_, I�av,�✓���W` ;� CITY: ����.�,r:;�y} � ZIP: i�� `;,,�1 j <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER �`r /-�j 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) ���,ti ���� <br /> Any earth movement may require MCWD review and permits! <br /> PR�POSE�WO�K(describe in detuin: , <br /> � e �J I G c o�rt ��e,-u��/ � V`��-�- c-v� ;� <br /> � t�}a<��t ��;� <br /> 1 --.�1 �' <br /> STORIES: I ��--�� SQ.FEET OF EACA FLOOR: � `.i - :x� , ��, <br /> NO. OF BEDROOMS: J GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I .. tl! r.;�� � �') <br /> I hereby apply for a building permit 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 permit and wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. ; <br /> ,,-"� i ��� <br /> APPLICANT'SSIGNAT RL:��� � '"`����'"�--�'�.�C_,�._�1 DATE: �� ' I '�j ���' <br /> ���� <br /> ----; <br /> 31 <br />