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� <br /> `I �-� <br /> �,= <br /> l-,�,` Total Fee: $ �:�.�� � ��''y Date Received: C�� �"���" <br /> � Entered B � '�i...- Permit#: ��99� <br /> y� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt a!l infornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle oize) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: '�� �(`� Gl�(�jCt� �C�v�R� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No lf yes, a specinl event permit is r�eqa�ir•ed ivitlz Po/ice Departnre��t and City Coirncil approval <br /> 60 days prior to the e»enl. Sharttle btrs service lvil!be r•eqaiired i�nless applicant deri�onstr•ates <br /> st�cient on-srte parking is available. Non-perr��itted eve��ts 1vi[l not be allolved. <br /> NAME OF OWNER:�.�Ly/�(?� M�,�-r"�/�iLZ PHONE: (home�IS�Z `�3U�0<�lv <br /> (work) <br /> MAILING ADDRESS:'I�� ��� ��;�,(�T CITY:�Gr�G ZIP: <br /> ..--1� <br /> CONTRACTOR ��'�c4� �p� .� PHONE:��,�-�>�,; �-,3�G <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS:� ' v� CITY: �� � ZIP:S—s I Z f-' <br /> STATE LICENSE: #C; �� 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 review and permits ! <br /> PROPOSED WORK(describe in detain: Z ZX y (�, ��_('�-���� n�i��b� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STA�,LS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � 1 jT�'� <br /> � <br /> I hereby apply for a building permit and I acknowledge that the infonnation 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 peri it and�vork is not to start without a permit;and that the work will be <br /> in accordance with the approved plan� <br /> APPLICANT'S SIGNATLJRE: DATE: (�, /j /p L <br /> � <br /> 31 <br />