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• , <br /> L/ ,o� <br /> ��a� <br /> Total Fee: � /6�q, � 9 ,_ Date Receiv : / /p Q <br /> Entered By: � Permit#: � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt information must be submitted in full before plan review wi❑ be started. <br /> (please print all information) � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle nne) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �,��;�Q ��� S�- ����n G ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS � NO If yes, a special evenl permit is required tivith Police Department and City Council approval <br /> 60 days prior to the event. Shutde bus service will be reguired unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �-t s„� 4 l�c-�. � ���P�p��r:�� '-�� PHONE: (home) <br /> � <br /> (work) <br /> MAILING ADDRESS: J c�„� � CITY: ZIP: <br /> CONTRACTOR U ,-, G c,�. ( �,,,�-��� }, ��.� PHONE: ��v � � ���l 4-S 3 S.3 <br /> CONTACT PERSON: �;��,��;� MOBILE/PAGER: �,a - 3G L - �:� ii u <br /> MAILING ADDRESS: �7�� ► (,(�,, ,,.�:�;,�,u zL]v F CITY: �5�,,,-� ; ZIP: 5 Su y C <br /> STATE LICENSE: # "3 y� y � EXPIRATION DATE: 3� O� <br /> ARCHITECT/ENGINEER: � n�i P� ���r��. ;�{r5 PHONE: G�a- 3 7 i- �i � <br /> MAILING ADDRESS: 3�1 13�,9,,� N�� ��r fv�CITY: ��;,,,,��,;5 ZIP: F i <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�: ��» � �����, <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: �i��C? 5� F-�- <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J��c,�� ' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pennit and work is not to start without a permit;and that the work will be <br /> in accardance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' � DATE: � (� <br /> 31 <br />