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1 <br /> Total Fee: � ��� ��� Date Received: g'ZJ`-�7 <br /> Entered By: -� t�"Y1`�� ��-'`� � Permit#: Q //�9� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt 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 Q1F CONTRACTOR� <br /> JOB SITE ADDRESS: ��� ����GovD 1,�A-i� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a specia/event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wil/be reyuired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events wil]not be allowed. <br /> NAME OF OWNER: f��/e�s�nll�a.r,," O��w PHONE: (home)1�SL-9v y-8"T-6/ <br /> (work) <br /> MAILING ADDRESS: �rYb ��,����/7-�,•% CITY: Ds-e�•,� ZIP: <br /> CONTRACTOR: �i��i�/ �� �o�ST�/GTlo�v' PHONE:7(3 �2--rjz,l�, �� <br /> CONTACTPERSON: l/fil, uri� MOBILE/PAGER: 7�3-Z�-3'�z���"� '' <br /> MAILING ADDRESS: 3oj/ C'u/�rE �j� CITY: �a���v ZIP: �S��j� <br /> STATE LICENSE: # �b/3 z�3� EXPIRATION DATE: 3� za�8 <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) �G <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: <br /> /''Gr �»� ��%/ �'' o n� vs <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �i'DDD ' <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 wark will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: l DATE: l Z� D7 <br /> 31 <br />