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Total Fee: $ /v��• 3�o Date Received: � � <br /> Entered By: Permit#: <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 O CONTRACTOR <br /> JOB SITE ADDRESS: ��7� (_.�i� �r�n�,n,� �`��, ZIP: S�3�� <br /> Witl this be P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��TO !f 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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �e�1�� T�"'`S�eI PHONE: (home)9S2'�73-Q�7�' <br /> (work)9T2�`�7S-3j�/$'� <br /> MAILING ADDRESS: �� (.�:�-c, Q�� CITY: ��a�+ ZIP: �9! <br /> 1..3 <br /> CONTRACTOR: C�.�S���M� 1�crGy�►.��. PHONE:�Sf- l�o��f2$`�'Z <br /> CONTACT PERSON: � .� � MOBILE/PAGER: L- 730- 8,55'y <br /> MAILING ADDRESS: O c-e , CITY:�b�' (s� ZIP:SSo'tJ" <br /> STATE LICENSE: # N�/.� EXPIRATION DATE: /v /� <br /> � <br /> ARCHITECT/ENGINEER: Ou�o/ PHONE: 9J Z-`�Z(y-�g'99 <br /> MAILING DRESS: dsib� CITY: ,S�[o� a,/c ZIP: � 2�0 <br /> NAME: �..5 �t�,g REGISTRATION: # �"�s4- <br /> TYPE OF WORK: New Home Addition Accessory Structure ✓ <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement ma�( require MCWD review and pe its ! <br /> PROPOSED WORK(desc��ibe in detain: �•�-'s�.�� :�jd"c��,�$ Sw;MM;n,��ety` <br /> STORIES: d SQ.FEET OF EACH FLOOR: C� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED C� DETACHEDd <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�,�OZS� <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 work is not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �/ O J <br /> 31 <br />