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� ,�j ��� ; � <br /> Total Fee• $ a�Q� Z DateReceived: ' <br /> Entered By: Permit#: � , t ;f;S(� ���`jc�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION ���� � <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[I information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: � l ,�C F a�� S i o 2 �n�U z�: 5 �-�� � <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 PoJice Department and City Council approva! <br /> 60 days prior to the event. Shuttle bus service wil!be required unless app/icant demonstrates <br /> su�cient on-site parking is avai/able. Non permitted events will not be a!/owed. <br /> NAME OF OWNER: �n lZ I$ �t .5 r//��ON M.C°G'/c'/�NN pHONE: (home) `T 5�-�73-5 ��y <br /> (`�> �s ,� -a�o �- ��� <br /> MAILING ADDRESS: � ��o r- 0 7 s i c��:�2 c�c:% z�r: s-��s—� <br /> CONTRACTOR: fZ G (-I ��Jvt L -T �^r�/'� U t M tN i PHONE: �)S� - �� �-��3� <br /> CONTACT PERSON: ��N � N� � Lk c r� MOBILE/PAGER: � � ,�- :� �n�- � �� � <br /> MAILING ADDRESS: ^��/C / L }�v i� 5 j CITY: t L� c.� ZIP: S 5_��(� <br /> STATE LICENSE: # � v 3 �l� c� ,J.�f EXPIRATION DATE: 3 - i j _ � � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: 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 may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: F i1�' � 5 N L C W � � L�(JE l- v`' <br /> r�d r S T il� G S i�� cvC %U12 C� f/c�M � T S � Y/'S �L N!0 <br /> L�u.ic/'� � c ✓� L W �-����'`t itX�-- l3c�� ���TN; F 2� � <br /> STORIES: SQ.FEET OF EACH FLOOR: d}- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ ���� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_� G"� • �'� '�� <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 1 understand this is not a permit and is not to start witho permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � ���-G'� <br /> 3l <br />