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� <br /> � ��.og <br /> b'� <br /> Total Fee: $ 3�� �� 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: -�'lC� ��/� �h( ZIp; �j cj 3c <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes ❑ No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prio�-to the event. Shuttle bus service will be i�equired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��'� ���frtitl i.�( PHONE: (home) G%5Z-�f�-ZL/y <br /> (work) <br /> MAILING ADDRESS: ?��'C� /%/-�l2viLGcJ L�( CITY: �'ijZc� ZIP: �;S 3�� <br /> CONTRACTOR: 1.�j!'vl l���7crL cl`t� PHONE: (y� ��'y���- 7�5� <br /> CONTACTPERSON: C!"-f2�S i�rzL� `_� MOBILE/PAGER: C�� �/�;-//�S�s <br /> MAILING ADDRESS: �Z 7 Z C�iz�titd>/{-�-� CITY: ��T.-l�,Q i i� ZIP: �--llX� <br /> STATE LICENSE: # ZE�3�i 7r�1 C EXPIRATION DATE: z j v ' <br /> �--- <br /> ARCHITECT/ENGINEER: _�/-}(... /�((GNI2�7S PHONE: ySZ- �0��/��� <br /> MAILING ADDRESS: ?,�7�(q�l�-ol�..�-� /�-v��. CITY: �„�/t1�z/�-i 7� 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 ay require MCWD review and per its! <br /> PROPOSED WORK(describe in detai�:__L��� ,�-�,�-t �.�'�� G'�� <br /> a '� x 7 �iu`=���i1 i�o,�T���i�0i2Cr/ �To c�xi�niciC S i-z����� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / z� OG'L'• c=e <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 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 /> APPLICANT'S SIGNATURE: ,.� � �� <br /> � � ��� DATE: C Z�� <br /> 31 <br />