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. <br /> E <br /> Total Fee: $ �Q� � ��,,:�� Date Received: /���' <br /> Entered By: Permit#: � t'� � <br /> � ia a �l <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 /> --------------------------------- ---------�-------- . <br /> -- � � 1 i� r��L <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO �` �+�'`� <br /> -t �� � .— � <br /> JOB SITE ADDRESS: � :. o =,; ZIP: ��,� <br /> � <br /> Will this be a arade 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 reguired unless applicant demorrstrates <br /> su�cient on-site pa��king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ����-;,�, (ry�- �rZ��7 PHONE: (home) <br /> r�— <br /> „�f�' G� � ,; ; r ��work) <br /> MAILING ADDRESS: tv� �r�, ��� , CITY: � � �r ` ZIP: ���� ��y <br /> � <br /> CONTRACTOR: PHONE: `�,��u'��-�D�� <br /> CONTACT PERSON: C � MOBILE/PAGER: <br /> MAILING ADDRESS: �. ��.�:/ �� ,`, CITY: ' ZIP: ;��`";_� <br /> STATE LICENSE: # EXPIRATION DA E: <br /> ARCffiTECT/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 movem t may require MCWD review and germits ! <br /> � <br /> PROPOSED WORK(describe in detai�: �F�r��' ��,��,���c,� �(ry� �,�,� �,�� ������ <br /> l� �,,� � �._:t-;�-'!n � f u� �-�;!(��L�1� �n� �-��).'�J S`����3.1� '�4� <br /> (,.� :�.,'��..,r.�� i+�r��� � , f y�r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> C�C� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� , �j(J(� '— <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 wo �'s not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> �1 U <br /> APPLICANT'S SIGNATURE: �' DATE: ��-CJO <br /> 31 <br />