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� <br /> , � . Total Fee: $ ��j`-,�� Date Received: r G� <br /> Entered By: �-7/LC_.�- Permit#• � - � , � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print alt information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � "L� 0 G��h� N�It � , � <br /> � <br /> JOB SITE ADDRESS: �f��;,.��. J�� O�-�� �r-' ZIP: ��5� <br /> Witl this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ �10 If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � / s � L.- L-C ���"2-~'� <br /> PHONE: (home) �� <br /> MAILING ADDRESS: �' I � � (work) 9�2 y�76'�G�y <br /> (s c� 5��, CITY: �nJ� <br /> � ZIP: ��`3� J <br /> / J <br /> CONTRACTOR: �a C��`�S'G� J G �pHONE: �E2. .�°I � �'l�°Jv <br /> CONTACT PERSON: ct MOBILE/PAGER: � � �c,��-��a G� <br /> MAILING ADDRESS: CITY: ZIP: � <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: D �(1✓�.� ` J'� PHONE: ��s � (/�l 2~J C�� �'J <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�: �h�ixv«. �Vt�uVrtnM�, <br /> �N � �, u�..ti✓4-,P.�� ---P.�'- a,�- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> ' NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � .i,�, — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � a ��� ,+ <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 I 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 /> ' { , � <br /> APPLICANT'S SIGNATURE: l-� DATE: "' 0 <br /> 31 <br />