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�w� <br /> �� <br /> \" V�-� <br /> �� ri <br /> . <br /> Total Fee: $ ����a�' Date Received: ���"( �� <br /> Entered By: Permit#: �C��� <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 i�zformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> ✓,�! <br /> JOBSITEADDRESS: i-\ 1�C� �kv�rti.c)�v � �� ZIP� ��4 � <br /> Will this be a Para e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O lf yes, a specia!event perniit is required ivith Police Departn7ent and Ciry Counci(approval <br /> 60 davs prior to tl�e event. ShaEttle bus service will be required unless appficay�t dernonsU•ates <br /> sir�cient on-site parking is avnilable. Non-permittec�eve��ts lvill not be allowed. <br /> NAME OF O WN�R: ��UG/`�i ��Gt�,�:�,� C�u V'c:G� PHONE: (home) lS Z'- oZ-�SS( ( <br /> ,L (work) <br /> MAILING ADDRESS: ��(�c� �c�vtnw��'��S � CITY: �Cc v�v"�'� ZIP: S� �' <br /> CONTRACTOR: �1.e_ C_��r�c t.-� �dri�v'��=(,°�� PHONE: �j o�2-- o2-ts�(J <br /> CONTACT PERSON: :1�.� ��-����_ MO LE/PAGER: 6la 3��� --�6 5�,6 <br /> MAILING ADDRESS: ,�/�&�� C.'r�`�r'� l�t CITY: ,l�t��,��� ZIP: ��3/0� <br /> STATE LICENSE: # 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(�lescribe in detain:��;n ,�.tc In;1,� ��u� ��r�-� S�� C✓'eus C;r'< <br /> ;v�:..� ��;(�s - C�7 4`-�c � S [•� a(r��,�-, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��flv � <br /> I hereby apply for a building permit and I ackno�vledge that the infonnation above is complete and accurate; <br /> that the�vork will be in conformance �vith the ordinances and codes of tl�e City and with the State Building <br /> Code; that ( unclerstand this is not a permit and��ork is not to start without a permit;and that the work will be <br /> iii accordancz �vith the approved plali. <br /> � <br /> � a.� <br /> AI'PLICANT'S SIGNATURE: � DATE: ���r <br /> ;i <br />