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� <br /> Total Fee: $ ��'� � ��� DateReceived: `.� ��_°�� i;`� <br /> Entered By: r 1,;� ( ;.ti-�����.7/���. Permit#: /��." :-,;'!"%�; <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 O ONTRACTUR�� <br /> _ _ . <br /> ___ <br /> � 1 , ,_ I <br /> JOB SITE ADDRESS: O `��C� �� �• w ZIP: <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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applican[demonstrates <br /> su�cient on-site parking is available. Non pern�itted events will not be allowed <br /> NAME OF O WNER: ,�O�� 5'��� PHONE: (home)°i 5� � Z`f� ��J30 <br /> (work) <br /> MAILING ADDRESS: ���o ���;�r��r���p CITY: 0:�,-�y ZIP: <br /> CONTRACTOR: L�(�1-1 T 0 L1S� ��,�.i�j� ��•�a``1�� PHONE: 6�Z- �Z 3- Z���t Z <br /> CONTACT PERSON: �- ��c',�.��a MOBILE/PAGER: <br /> MAILINGADDRESS: Z��.�- ro�e�,-l- �N� CITY: (���,,nc� ZIP: 5�3�� <br /> STATE LICENSE: # Z�-� � EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 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�: �.c.;K���r� ��a,v�h ovt`�e. 10"X I 3� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , Q(�� � <br /> I l�ereby 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 w k 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: J� I� �'-5 , �v�� <br /> "'1 <br />