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� , . <br /> Total Fee: $ � ��� �p� Date Received:���10� <br /> Entered By: `y�t._.e� Permit#: �2D0 �-C��05 <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> -- _,__ _._______.__ _ <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACT_„_O� <br /> _` <br /> JOB SITE ADDRESS: u�'S ��7��'�.�z� }�--� �'� ZIP: `� `� -� �� I <br /> Will this be a Paxade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��TB If yes,a special event permit is required witn Police Department and City Council approvai <br /> / 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �%�`� � �-�n���- PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: ���� t�'',�-c'�l-� CITY: �l�'�`'`'' ZIP• S � -� �� l <br /> CONTRACTOR %-�.� _ ,.�c�.�_� j�"u,>��,, - .'.�.�- PHONE: r�`�.�- `�'SYr _� � `-�� <br /> CONTACT PERSON: �� t %`:�__�<�� ,�-�..--` MOBIL�/PAGER: t��� - 3'Y/—.�.�-�/l <br /> MAILING ADDRESS:� � �' �i'`� �`�- CITY:t"� �,f;���„ �^.��ZIP: 5 � �j <br /> STATE LICENSE: # 6�r�(,F.� EXPIRATION DATE: � - :�1 — G� <br /> ARCHITECT/ENGINEER: /���C`-- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) �--�"-' <br /> Any earth movemen may require MCWD review and permits! <br /> P POSED WORK(describe in��tai�: ) c���°--•' L��f- t'�-� �% I'G���'� �� <br /> � <br /> /���� I�L .�.z l_k- "11��-*-�x.;- t:,-f?�.>.._ :� �-�'r_c.� `-��cr` r"c;t a <br /> / <br /> STORIES: SQ.FEET OF EACH P'LOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ C.P� �J D - Ci� <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�d war1�is t to start without a permit;and that the work will be <br /> in accordance with the approved plan. ; . <br /> APPLICANT'S SIGNATURE.` � �l`-�---'"DATE: ��-� � � � � <br /> 31 <br />