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� �. <br /> Total Fee: $ 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 a/Z information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> __—��—__.... <br /> -- � - ._ __ _ _� <br /> THE APPLICANT IS: (circle one) OWNER O�CONTRACTOR � <br /> JOB SITE ADDRESS: i�y� L���� G����'� ���- . ZIP: S_S 3�Ll <br /> Will this b a _,arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a specia!event per•n�tit is reqz�irec�ivith Police DeparUi�ent and Ci.ry Councrl appr•ovcz! <br /> 60 days prior�to the event. Shidtle bz�s service ivill 6e r•eqiiired a�nless applicant demonstr•ates <br /> sc�ficient on-site pnrking is avnilable. Non-pe��mitted events ivill not be allotived <br /> NAME OF OWNER: C��h�� .�t�o�r-o PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: %/��•,���;,.-;_,� �„� �., /,� /l�c i,�e�.:iS� PHONE: �ISZ-zz�3- 4-rv^r <br /> CONTACTPERSON: lus�., r'�,c:o;:,�-� MOBILE/PAGER: �iZ- �%i> Z/�'� <br /> MAILINGADDRESS:�73c�S` ������ %+�•e S CITY: G<<.�K�.�/:` ZIP: i:�� " <br /> STATE LICENSE: # i�C' -L�'Y'c.P���-i EXPIRATION DATE: �3� 3r • c� 7 <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/Altecation (ie: Siding, Windows) '�_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: /�S ��,�.z,:������ � c�c:�; � • _. �� <br /> ��-�j�> <br /> ��Q;n`�� ��z `�„-c-c-,� ��� %�-, •�'i4,,, LZ..,.�� ..2 Ge�:,..�._ L.c�` <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3���`Z`� <br /> I hereby apply for a building permit and I acknowled;e 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[ 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: � `�! <br /> 31 <br />