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� <br /> . . <br /> � - n <br /> , C.<<,� �,_, <br /> Total Fee: $ i_�� , �- Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> A❑ information must be submitted in full before plan review will be started. <br /> (please print a[l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> �----._._ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> ,�, __ <br /> JOB SITE ADDRESS: ��'�--fi��l L�� o v�r�L�,�� `�_.__ ZIP: ���� I <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 davs prior to the event. Shuttle bus service will be�•eguired un[ess applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: � �� ��r��vr-.� PHONE: (home) <br /> � �I i (work)�ci�—�l'��.... lCa� <br /> MAILING ADDRESS: �n� fi�n�tL� 1� �� CITY: ���� ZIP: �3�1 <br /> �� � <br /> CONTRACTOR:�,p `�p����C�r..�tY,�- ,�" ; PHONE�3'- — Q�� <br /> CONTACT PERSON: MOBILE/PAGER:(G(a-�� �-�rj`y'v <br /> MAILING ADDRESS: �ii� � ti. � CITY: t�� R�� ZIP: ��3� <br /> STATE LICENSE: # � '�j EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessor Strucr e <br /> Move Home Remodel/Alteration (ie: Sidin , Windows) <br /> Any earth movement may requi��je MCWD review ermits ! <br /> PROPOSED WORK d/e'�ciJ•�'e in detai�: dC Li.+��,�pC�I.�S ' �,�� �t,.-� <br /> 1 C�`�1�� �'��� ��f'c,L'C��''L jZ i y'2 � ^ 0 ��� IL�� �') S ct'rr�C .� <br /> � - <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �'z-' <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 a k 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: "- � �--�� <br /> 31 <br />