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Total Fee: $ - �� /✓h sq Date Received: <br /> Entered By: �/� ��- ��� Permit#: , �/ �/ <br /> v <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pleuse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle nne) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: l� YG� l c�/y1/�- L r rvD✓�-- ZIP: � �O� <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ ye5 '�O If yes, a special event permit is required with Police Department and City Council approval <br /> 1� 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ,o (�.Q � S�2,�,�/�L.r� PHONE: (home)�S Z—�36 �(o (�-�'�- <br /> (work) Co ( Z Z 7� �J'�Z Z <br /> MAILING ADDRESS:S 7 o Y ��v G�{ �O� CITY: ���//li ZIP: __���/ <br /> J� <br /> CONTRACTOR �. �P��Sv� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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 pe mi s! <br /> PROPOSED WORK(describe in detai�: � � �7��C"�� <br /> C� C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> r--_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � , (�?1� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work 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 pennit and ork is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. / <br /> APPLICANT'S SIGNATURE: .l� ,/ � ��'H�,TE: �` �G �� U <br /> � <br /> 31 <br />