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c�o� <br /> � �2,� <br /> Total Fee: $ z�. `�"�P DateReceived: / � ,3 07 <br /> Entered By: Permit#: ��7�� <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 OR�ONTRACTOR <br /> JOB SITE ADDRESS: � �(:�� J���-I� �,�„� � ZIp; <br /> Will this be a�ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes NO If yes, a special event permit is required with Police Department and City Council approva! <br /> 60 days prior to lhe event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be al(owed. <br /> NAME OF OWNER:��„Q ������� PHONE: (home)�la - 3a�- �a�3 <br /> (work) <br /> MAILING ADDRESS: G�(jp-� CITY: ZIP: <br /> CONTRACTOR: �-I �� (' , �i�r���,� PHONE: ��� � �-I-b1 -C��(-j <br /> CONTACT PERSON: � c.�= • MOBILE/PAGER: G �,,.� <br /> MAILING ADDRESS: S<-�-5'� �Rl�,t�i► , �� S . CITY: �'�P�S ZIP: S 5�i-r� <br /> STATE LICENSE: # 6�cz,a ��-}q EXPIRATION DATE: Z� � j dg <br /> ARCHITECT/ENGINEER: V� �_. 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) x <br /> Any earth movement may require MCWD review and permits ! <br /> PROPO ED WORK(describe in detai�• �L �o�}�, Nc�H., �,Jc�2Q� * � t�� <br /> VJ (/� Lvt C3�Q. �� ci' � G. 1�'1 S c.�.�cr (/` �U,�n .�. <br /> STORIES: I� SQ.FEET OF EACH FLOOR: (� _S� �� <br /> NO. OF BEDROOMS: __� GARAGE STALLS: ATTACHED � DETACHED <br /> c� _ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �j�C� <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 /> �_. _ <br /> APPLICANT'SSIGNATURE: y�Qr- DATE: Ia � �3 • U'� <br /> 31 <br />