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r � �. <br /> . . � , <br /> Total Fee: $ Date Received: �- / "� <br /> Entered By: Permit#: ..f�/�/3 7 <br /> �DO��Ud�7 <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 /> / �J�` / p <br /> JOB SITE ADDRESS: �G.0 •�'�--��N�' i`Ft�E ��LSp - y-.�IP: ,jS.3` � <br /> Will this be arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS P10 If yes, a special evenl permil is requir•ed ivith Police Departmenl and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unles.r applicant demonstrates <br /> sufficient on-sile par•king is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: S ) � _ � �� 4 �(�'�HONE: (home) �3-S�'eZ �� <br /> f ,(/ (work) <br /> MAILING ADDRESS:�,3� G�.� "� CITY:�'�'G� , c�✓ ZIP: ��/ <br /> C0IVTRACTOR: � � �E' ec},tJ' ,fu< /�/'✓ (,� L�� PHONE: -t�cj� ��.� <br /> CONTACT PERSON: ` , n;n. MOBILE GER: ��=�)j� <br /> MAILING ADDRESS:.,'�. ' Gi� CITY: c- " ZIP: ,�$� <br /> S'TATF.:,ICENSE: #_�'p��3Q �� EXPIRATION D TE: <br /> ARCHITECT/ENGINEER: �F� � s? P ONE: �-` _ � ���. <br /> � <br /> MAILING ADDRESS: �. C Y: �s„(��ZIP: <br /> 1'�AME: REGISTRATION: # <br /> TYPE OF WORK: New Home�� Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Sidinb, Windows) <br /> Any earth movement may require MCWD r view and permits! <br /> i'ROPOSED WORK(describe in detai�: � � � �}-� <br /> � n J. <br /> STOR�ES: `- S .FEET OF EACH FLOOR:��I(� ! �GzS f���( ��w( �� <br /> , Q � <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED\�_ DETACHED_ <br /> ES'TIMATED CONSTRUCTION VALUATION(exc di g land): $ <br /> r <br /> I hereby apply for a building permit and I acknowle ge tha the iryformation above is complete an'd accurate; <br /> ttlat the work will be in conformance with ord' an e and c,6des of the City and with the State Buiiding <br /> Code;that I understand this is not a permit n w rk i to art without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��ATE: �`'C!� ` � <. <br /> � <br /> 31 <br />