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Total Fee: $ DateReceived: � � � �7l b� <br /> Enterec] By: Permit#: �=-1 1 (�� I—? <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 informcation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cir�cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���� [_O/���-'�.il (�l�-cG� ZIP: ,����L,� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, n special event per�i��it is r•eqi�ired with Police Department and City Council approval <br /> 60 days prio�•to the event. Shuttle btrs service ivil/be reyarrred ainless applicant dernonstrules <br /> st{fficient on-site par•krng is avai(able. �'on-pei•n�itted events 1vil!not be allorved. <br /> NAMF OF OWNER: G��E(�,�I S�V`S���I�1���5�'1�HONE: (home) (�)�"��j�j����� <br /> (work) <br /> MAILING ADDRESS: �d°� (.��1)E1-� ��� CITY: D4��'� ZIP: � <br /> CONTRACTOR ��,5����-k-- ����e�-�• ��'y-. PHONE: �,�"3���Q�� <br /> CONTACT PERSON: �C..�f� 1'`f,tLQ��tHE� MOBILE/PAGER: t�► <br /> MAILING ADDRESS: 2$'�b �tf`iL'�Et�1 l-1�I�ITY: ��"��(�tti1ZIP: �'� <br /> STATE LICENSE: # ylX-1�S I`13 EXPIRATION DATE: 3- 30�f�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF V��O�:: New Hcme Addition � Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(clescribe in detai�:�N t�' ��� , �17���� 1�+� <br /> ��[�'-t�itZ- �cD(n�-� �� <br /> STORIES: �. SQ..FEET OFEACH FLOOR: � .:�� ; . �� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED DETACHED_ C <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � 2�r���e� ` �� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the�vork�vill be in conformance «�itl:the ordir,ances and codes of the City and���ith the State Bui(din� <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 /> i ,'� ,' ,% <br /> APPLICANT'S SIGNATURE � L�Cf �DATE: ��^�3'"!�� <br /> ! • <br /> 31 • <br />