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' ' , Q� <br /> � ,, � �� ,� <br /> n <br /> � , `� �',� <br /> ��;> (f <br /> Total Fee: $ U' �J � DateReceived: � " _/ —� ' <br /> Entered By: Permit#: �G` ��) <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirtt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci�•cle one) OWN�OR CONTRACTOR <br /> JOB SITE ADDRESS: 4c��jU ��f�Z /�'o/� l'���ND ZIP: ���-�� <br /> Will this be arade of Homes, Remodelers Showcase Home or other Disptay Home? <br /> ❑ Yes �10 /f pes, a special everat permrt is r•egarir•ed ivit/z Police Departnaent and City Coz�nci!appr�ovn! <br /> 60 clays pr•ior to the event. Shzrttle btrs sel•vice lvil/be regzrir•ed:�nless applicant der�ionstr•ates <br /> saEfficrer�t on-site parlcing is nvailable. 1Vo��-permitted events�vi[I not be allowed <br /> NAME OF OWNER: �7��JEG-�'�GE/S� 5����i PHONE: (home) �� 2 " y ys- /Soo <br /> ������c� /.J/�/�L /�v�� (worl<) 6�Z - :��9'_ 3��e� <br /> MAILING ADDRESS: G�K'c��vv CITY: U��'�'�'�' ZIP: � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: /�l�2�!�L - ��'i MOBILE/PAGER: �iZ - V3�- 3��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINF,ER: PHONE: <br /> NIAILING ADDiZESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel/Alteration (ie: Sidi►1g, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descr�ibe isz detcrin: �E-���4i.� �n/� �� 7C�� <br /> ��CiYf� Gil,� �tD_�v /�fJ/�L /��/ _ Sc�E •�77ii�</-/L-/� �ivFi�. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGC STALLS: ATTACHED DETACHED <br /> � -., �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding landj: � � CJ� <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that[ understand this is not a permit and��ork is not to start without a permit;and that the work�vill be <br /> in accordance �vith the approved plan. '_ ) <br /> / <br /> APPLICAIVT'S SIGNATUR�: � DATE: �' �/� �� , <br /> L . <br /> i� <br />