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Total Fee: $ �D, � DateReceived: <br /> Entered By: Permit#: a <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt informaYion must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /J, �_� ��j p1cOrC'�� �� � � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �No If yes, a special event permit is required with Police Depa�•tment and City Council approval <br /> 60 days p�•ior to the event. Shuttle bus service will be r•equired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �C�� �Gt,CG � PHONE: (home)���-y�� <br /> (work) <br /> MAILING ADDRESS: l6SU �L�c��r`h ��rt R� CITY: 4�}ri L`'�i- ZIP: SS`3 S-,E> <br /> CONTRACTOR: C�� ,'nvl I���'C����VJ(Mevt� PHONE: (,jZ-��0/�.34� <br /> CONTACT PERSON: S�`��e�'� ���e ��o-e- MOBILE/PAGER: ���L - 7a i�3 G�O <br /> MAILING ADDRESS: �6�,� /�u c�(�,,j�r�- �� CITY: �a�a I e �j�,,2 ZIP: `�-���c� <br /> STATE LICENSE: #_�20�.3 `�L E7 Gj EXPIRATION DATE: �- ,3/- p � <br /> ARCHITECT/ENGINEER: ��✓� c_! }��'e I � i� PHONE: q sa- y z z� ?�Z C� <br /> MAILING ADDRESS: 3�LS l�Jes� �Gst S�, �„2as CITY: �01,,,� ZIP: 5S yZ V <br /> NAME: D��v� c1 �e 1 ( y 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�: �`p�� (�d��' (�,��' �� (,�� <br /> Gt �oJ� �v` �� , C�O (- 7JO�V ���✓`�r�r� j ` <br /> � �f <br /> STORIES: � Z-- SQ.FEET OF EACH FLOOR: �j L>d w�c��� � �p�! <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED a DETACHED CS <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /U « v �'�� <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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ���,� DATE: �'-�� ag <br /> 31 <br />