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� G y,o <br /> � <br /> ►� <br /> Total Fee: $ aZ a.Q DateReceived: � ,�./�d8 <br /> Entered By: Permit#: 00 -�� ` (00 <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 OR CONTRACTOR <br /> , ,, L <br /> JOB SITE ADDRESS: j � � T �- � �-� G �X.K �Z ZIP: <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 Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonsti-ates <br /> sufficient on-site parking is available. Non-permitted events N�ill not be allowed <br /> NAME OF OWNER: I,1 Q V�- J� Ca �J 'L� PHONE: (home) <br /> �1 �-, (work) <br /> MAILING ADDRESS: I r���� F�k V�-�ti �ti�l� D�CITY: (�7�G'�ti� ZIP: <br /> , <br /> CONTRACTOR: (.(.i � I Q. C� �' �hF� PHONE: �I� �J ��.��� <br /> CONTACT PERSON: S 1 �.� I ,�u(/ MOBILE/PAGER: <br /> MaiLiNG ann�ss: 33�-0 ��e-�rrel ��, eITY: �I�„�;����, ziP•��7 <br /> STATE LICENSE: # d,O� 3�'S � 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 detai�: �.� �(� C�Qs�T l�/�t l/ S , ��L���lf l.k f,t/ <br /> �,�ti1S. D"� �� �a /r ► ����U�►�� ' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,(�l�/�% �� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the wark 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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � �J/�J� <br /> 31 <br />