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I <br /> Total Fee: $�v�/, /� Date Received: $�o3(%�J�B <br /> Entered By: Permit#: �ODB- DD/�pg <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in ful► before plan review will be started. <br /> (please print all infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- .—�-- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: G� ��C� ��h�� ��� ZIP: '����� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: /1^ C�'�� ����,^ PHONE: (home) �1�J � �;� �' <br /> / „ / � (work) <br /> MAILINGADDRESS: `�Sv `� 'r+� G,_`�CITY: ���-� ZIP�1'� j <br /> � � � ��s'� <br /> CONTRACTOR: ��'ti �-�.-� -.� � �� PHONE: ���- �— <br /> CONTACT PERSON: �`/ /�/r�,(;.,— MOBILE/PAGER: �-.�� - �/s'�- <br /> MAILING ADDRESS: �Ga-,� �����/���_CITY: ��, - ZIP: .S.Y,J� <br /> STATE LICENSE: # �� ,'� EXPIRATION DATE: �„G./ ,�� -�'j <br /> � � <br /> ARCHITECT/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 W�RK describe in detain: /�v�c ��1 �� „ -, � �--c �� C <br /> � /� <br /> '^�° o� — r ' ` v��ov.� <br /> � <br /> STORIES: /f/.� SQ.FEET OF EACH FLOOR:�"� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,��„ �' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in conformance with the ardinances 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 /> APPLICANT'S SIGNATURE: . DATE: � � � G�� <br /> 31 <br />