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�' � r� � <br /> Total Fee: $ ��✓• �� j� Date Received:� <br /> r <br /> Entered By: �'' ' / Permit#: �7�/ �, <br /> : : <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 /> � G t`A h r,r.. H�1 t �t.l . .. <br /> JOB SITE ADDRESS: ��;�� . � �r��� �r--' ZIP: ���� � <br /> �� �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special event permil is requi��ed with Police Department and City Counci!approval <br /> 60 days prior•to lhe event. Shuttle bus service will be reguired unless applicant demonsb-ates <br /> sufficient on-site parking is availab[e. Non permitted events will not be allowed <br /> NAME OF OWNER: � � � �� L,� t--C_, pHONE: (home) ���-- ��JvZ"�S� <br /> (work) '�;Z �'7 6'�(� �J <br /> MAILING ADDRESS: ��" 1 � � C� �� S�� CITY: �'�l� �� ZIP: ��"�.�'� ) <br /> �,—,� � l <br /> CONTRACTOR: �a C��r/',:S'c' PHONE: � �2 � °! cs �1�aJv <br /> CONTACT PERSON: � MOBILE/PAGER: � i2 �Y�� -,�� � <br /> MAILING ADDRESS: CITY: ZIP: � <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �O��.�✓.� ?�/'� PHONE: �z��s � �/2-�J C�^ �" <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���;,�. �V��v�v�M� <br /> � l�-� �`.-� ��,, 1,�n v./�-�_/'�{ -�,/-_ �,i�,- <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> � NO. OF BEllROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ��� r� ��.v-�_� — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $� ! � - <br /> 1 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 /> APPLICANT'S SIGNATURE: l-� ' DATE: �' � <br /> 31 <br />