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Total Fee: $ ��%� • `_^`-� Date Received: (�";�-� � "` �' <br /> Entered By: ; �. Permit#: J r?�� �� _ <br /> � n\y <br /> '��',Jti CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all i�zfo��mation) <br /> -- --------------------------------------------------------------------��-----_=�------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACT� <br /> , ___.�- <br /> JOB SITE ADDRESS: --�3� ��1 Li� � ZIP: SJ�,3�� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �To If yes, a specia!event permit is r•eqi�ir•ed lvitla Police Depa��tmei�t and Ciry Council app��oval <br /> 60 days pr•ior to the event. Shzrttle bus service will be required unless applicant demonstrates <br /> sz fficient on-site parking is avnilnble. Nan-pei�mitted events tivill not be allowed <br /> NAME OF'OWNER: ��a� UG1Ce(� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �3� 1--�,((G;,�r�-e� ��v�CITY: �G,V7L � ZIP: �S�3 4 � <br /> ��� <br /> CONTRACTOR: 'i ^ PHONE: �Sa�{7a�S7� <br /> CONTAC'T PERSON: � � ` MOBI /PAGER - '.. �ct,� <br /> MAILINGADDRESS: /e.� �y � �� CITY: /�I`c�w ZIP: ��3,�� <br /> STATE LICENSE: # 3�2z EXPIRATION DATE: <br /> ARCHITF;CT/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�: ���` ,3c,� 1�,��� ��,�cX...ol� eaL�,�.�e'�js <br /> �11�����:�cMI'i n c hQc:� .�r��, K�,e, �.v�L��l — e G:�S''n��.S' '�7�i�-� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT�CHED DETACHED <br /> ESTIMA7'ED CONSTRUCTION VALUATION(excluding land): $ 08 c`� � <br /> I hereby apply for a building permit and I acknow(edge tl�at the information above is complete and accurate; <br /> tl�at 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 /> r <br /> APPLICANT'S SIGNATURE: DATE: � �z( � � <br /> 3t <br />