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� � ��,�� <br /> 5" <br /> Total Fee: $ �9,3, �.J Date Received: � Q <br /> Entered By: ,(j� 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 informatiorc) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �.3.� ��� C� L,,,��L �c�� <- ZIP: J� S ,3� � <br /> Dt�c�� <br /> Will this be a Par de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS lo Ifyes, 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: /�L'� ,P���;e,� f}-!�2 � ,�ji� PHONE: (home) �Sa - `'/�J2- ��30� <br /> (work) <br /> MAILING ADDRESS: 1 j� �c�c� C,,�j� pQ�,�? CITY: jJ,�j�J�, ZIP: �� �� <br /> �S-_«7 <br /> CONTRACTOR: �, �c_�r ��,�'vS �{��.���� PHONE: 9��- y��y - yy�g <br /> CONTACT PERSON�"�q�K MOBILE/PAGER: �i.�-- �03 .�.z �� <br /> MAILING ADDRESS: /.5'�/� ��c,,J�� '�' CITY: `l'li,,�:yer"U�e�ZIP: ��-�{�-' <br /> STATE LICENSE: # .�.�,. 3 ;z 45 5�� EXPIRATION DATE:� 1 �,_�o y <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 WORK(describe in detai�: ,L,c��,>er' !�e v�i-- �sci� ,�- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �S� �(�j�� <br /> � <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 1 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 /> APPLICANT'S SIGNATURE: ,� DATE: � j/ Oc� <br /> � <br /> 31 <br />