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l (y / � <br /> Total Fee: $ � -I � � � Date Received: � 7•Z,•�7 <br /> Entered By: �<. E� Permit#: A-(�(��j <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OI2�CONTRACTOR,i <br /> f � : <br /> JOB sITE��uEss: � �' !' � � �--,S�G�� �� ��- �� zrr: <br /> Will this be a arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ yes ��10 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 /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: -J�.\�' , PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: Z�f��'� '�-��s�r�•�.a.;� �„r_�f -, � CITY: C���•Z'�' ZIP: <br /> � <br /> �CONTRACTOR: � - . ,..����,,��,�i, ����`���� � : � �,, PHONE: (•� 1 � '�'.. / ��l�l; � <br /> CONTACT PERSON: -�;, ��:�- 1�,�;,� , �,�, MOBILE/PAGER: <br /> MAILING ADDRESS: � :• ��, � �� � � ._.t�� CITY: � i�_ r�lr � �� ZIP: �- 1���; <br /> STATE LICENSE: # ;�� /-" �; - , EXPIRATION DATE: � � < �` <br /> ARCHITECT/ENGINEER: ��r PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Stru re <br /> Move Home R�emodel/Alteration (ie: Siding, indows), <br /> Any earth movement may require MCWD review -and permits ! <br /> PROP�SED WORnK(deseribe in detai�: �-� � ���-��)�c- � ��t z��c/� y�G�' <br /> 1 110 Ue -�- �S p n�� Z w i✓�C�-+,,i 5 / I/2. G� � /4I�'L W,�✓i C�W S <br /> ,� <br /> STORIES: _� SQ.FEET OF EACH FLOOR ��� <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `f(��OCo <br /> I hereby apply for a building permit and I acknowledge t t�he information above is complete and accurate; <br /> that the work will be in conformance with the ordinan es nd codes of the City and with the State Building <br /> Code;that I understand this is not a per t a d work i n to s t without a permit;and that the work will be <br /> in accordance with the approved plan.; �'�_ _ <br /> i <br /> APPLICANT'S SIGNATURE: DATE: ��`��'I�Z <br /> 31 <br />