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i ' <br /> Total Fee: $ � �Do�� �� DateReceived: ����1�8 <br /> Entered By: Permit#: o�OO�- DDai7� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fult before plan review will be started. <br /> (�ilease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS:�� �U+1��y���'� �✓�� � ZIP: ����� <br /> Will this be a P de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicanl demonstrates <br /> su�cienl on-site pai•king is available. Non-permitted events will not be allowed <br /> NAME OF OWNER:��►/�5`�-t(�G{ �L�'C V��*�1 PHONE: (home)� - ' 7�'��� I <br /> / ���� � (work) <br /> MAILING ADDRESS:���� C�`����I�C CITY���� ZIP: � d� . <br /> CONTRACTOR: ��. ���G��.a��.�V, ��c �' � � �J3_�S� <br /> .31� - 3 E-�. PHONE: �,� J� <br /> CONTACT PERSON: l� - ,� M ILE AGER: <br /> MAILING ADDRESS: 1/ CITY: �j- `� Q �ZIP: , _ ��(� <br /> STATE LICENSE: # � EXPIRATION DATE: � �,���`� <br /> �� <br /> ARCHITECT/ENGINEER: , i� 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 moveme t ay require MCWD review and �ermits! <br /> PROPOSED WOI�K(describe in detai�: Q � G' j9�'t'��f/0�3✓v) IT�6 �t�(� � <br /> b�t� w�����w ��� la�r'����. - <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> r ro <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ���} <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wi ll 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 <br /> APPLICANT'S SIGNATUR DATE: <br /> ����/�� <br /> 31 <br />