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� r '� <br /> Total Fee: $ Date Received: <br /> Entered By: 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 ONTRACTOR� <br /> � � `` � �- _.._---� i <br /> � � �— � �-e� _ ___ S� ��"v <br /> JOB SITE ADDRESS: ' " �j�N�f ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO /fyes, a special evenl 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�cienl on-site parking is available. Non-permitted events wil/not be allowed. <br /> NAME OF OWNER: �`%✓�S r1`'- �� PHONE: (home) ����� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> / ,, _ <br /> 5�-<�L� , C�,��� -�s,. ��-,-v-��-> PHON��'�)z�� �7J y ��i� ) <br /> CONTRACTOR: l� .a:,�.�-�-, � <br /> CONTACT PERSON: �-�'�%> 1,�,/��1�., MOBILE/PAGERC ��'Z.) 5"G -%,�'�; <br /> MAILING ADDRESS: YJ�'J %s�,��s� f'������ CITY: ,1�1.G��.,;��-,- ZIP: ��/ <br /> � STATE LICENSE: # '��1�� EXPIRATION ATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> �""�' MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessor Structure <br /> Move Ho�ne Remodel/Alteration (ie: �idin 'ndow �_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK describe in detai : � .�„���-z- L'-��-�lw �-�-'<-. % c�c% <br /> c n � s �-���; c <br /> � . ��� �-J�' l w-��,� 1/-���,/ �/� { �I/ � L�--��, ,/ <br /> �` y Y� �T 7 �� ��"�"�l/ !�' �����/�t.z � //✓�u�li � v...� S /CGllv' './ic:,,l u . <br /> �_ J /� f �..,_ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> > <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Z� �UJ< — <br /> I hereby apply for a buildinb 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 /> ,��� � ���� � � <br /> APPLICANT'S SIGNATURE.0 DATE: �d .f/l/� <br /> 3l <br />