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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 al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circ[e one) OWNE OR CONTRACTOR <br /> JOBSITEADDRESS: p�7$J� .V�7LtJC1�d'� /`IVP� ZIP: J'rJr•34� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �1�10 If yes, a specia!event permit is required wilh Po/ice Depai�tment and City Council approva/ <br /> GO days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> ste�cienl on-site parking is available. Non-permitted events�vil/not be allowed. <br /> NAME OF OWNER: GV�!11QA� [; �C./4e y PHONE: (home) ��7 -0,3�2 <br /> (work) <br /> MAILING ADDRESS: oZ� .S CITY: �6t. ZIP: ,� <br /> CONTRACTOR: S 6!�o PHONE: er Dl�r �r <br /> CONTACT PERSON: i` i` � MOBILE/PAGER: <br /> MAILING ADDRESS: �S�CITY: — ZIP: -- <br /> STATE LICENSE: # �,� EXPIRATION DATE: O3 31 f OT <br /> . <br /> �-AI� D �N � � r� PHONE: �er � cr <br /> MAILING ADDRESS: � CITY: — ZIP: " <br /> NAME: �/,f} REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �De�k�Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require CWD review and per,�i,ts! <br /> PROPOSED W RK( escribe in detain: �' S�"rve."� GJae � V�r' ` 7� �aCve`� <br /> �9 ' o � v o <br /> �''�vr- P�rn,► v,nb�r-: I�ogo4�{ �o/a mn � e. an Per a a rnen � <br /> STORIES: � SQ.FEET OF EACH FLOOR: A/ <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a5D0- 3; �0 <br /> , <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 witl�the ordinances and codes ofthe City and with the State Building <br /> Code;that I understand this is not a permi work 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: G1(o .�23 0(� <br /> 31 <br />