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Total Fee: $ O� � DateReceived: �J�O �O <br /> Entered By: Permit#: � J o2vZ/3 <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 O CONTRACT R <br /> JOB SITE ADDRESS: ��5 rlL�,`�t (,�c�p-� �J�' ZIP: ('���J <br /> Will this be a 1�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��10 If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus se�•vice wil!be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events tivill not be allowed <br /> NAME OF O WNER: �I.t.o1 ►� �,1�,l�S��-,,✓ PHONE: (home)� - Z-Ht��� Z7 Z� <br /> �- '/ (work) <br /> MAILING ADDRESS: I L J 5 �T�'✓1�(�'�el�I�',' CITY: ���� ZIP: <br /> CONTRACTOR: �� PHONE: `�f��'j`��-13,?t� <br /> CONTACTPERSON: - MOBILE/PA ER: —Z3� -0� 5� <br /> MAILING ADDRESS: ' p� . I(�, CITY: "�,(� �/.� ZIP: ��J <br /> STATE LICENSE: # 1 5 6 EXPIRATION DATE: ' �� <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 r�jview and pe mits! <br /> PROPO�S ED WORK(describe in detai : � �0�'C (ti� � �/- <br /> l�: 1.�� .�-��, v� � i� i ���.� �le.� ✓S�-+���9 S <br /> �v� +� /✓��,5. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED <br /> �j �v <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� (/� <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> tl�at the work will be in confarmance 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 rt without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: `\ � DATE: � � �� <br /> 31 <br />