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1 <br /> G�.� 3�Z- o � <br /> i�. a� <br /> Total Fee: $ Date Received: �"- �� �� � <br /> Entered By: B Permit#: � /O -7� � <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ���(� l����oc,c��f ZIP: ��3�1 I <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��10 Ifyes, a special event permit is requi��ed with Police Department and City Council approval <br /> 60 davs prior to the event. Shuttle bus service will be reguired unless applicant demonsb�ates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> C�I�-� i <br /> NAME OF OWNER: �� �G,�'klvtn,� PHONE: (home)(p��-,�j`�j5"O��yp� <br /> (work) <br /> MAILING ADDRESS:a.�7C? �v��nk�c_,c��i �✓�.CITY: �lb t� � ZIP: �5`3� � <br /> CONTRACTOR: ��c;�v�n �0�-�S�vcT•�v� PHONE: ��a-a�7 -q � � � <br /> CONTACT PERSON: ��+� , _ u MOBILE/PAGER C�I a '9(v`a -�-I la�� <br /> MAILING ADDRESS: d'`�( � )'U CITY: �✓f � � ����ZIP: '���) � <br /> STATE LICENSE: # ;�� � `l�'��(� EXPIRATION DATE: �-3� - C�`� <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�:_��,}�,�,n�,-}-�� _ �,r� -�-� ��d`2_ <br /> ��G�Mc����? C��C' G,�u . S v o� I�'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $__q�, bu c� <br /> 1 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 ardinances and codes of the City and with the State Building <br /> Code;that I understand this is not a per ' and ar 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: Z.' Z Cc " � � <br /> 1 31 <br /> \ <br /> �'�. <br />