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Total Fee: $ (l'�� 1 z �� DateReceived: 9-�'�� <br /> Entered By: -�'�� Permit#: A/I�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 a[l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: f� �� � r�-G� � ,,..� ��'` ZIP: � lo <br /> Will this be a rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'es O If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days p��ior to the event. Shuttle bus service will be reyuired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER ,/r//�r�-�` K �'��� /�l.ri►5 PHONE: (home) <br /> '/ (work) <br /> MAILING ADDRESS: /3�7� �!c2�r-� �r" CITY:,���,r�, N� ZIP; ,T5 3� � <br /> , / <br /> CONTRACTOR: � �I�- u.l � - PHONE: 6CZ�ib 9595 <br /> CONTACT PERSON: ,� , �� ; -r-� � (s f--U� BILE/PAGER: <br /> MAILING ADDRESS: ��.a oeE3�,r y5-y CITY:��;r-��td.-�� ZIP: �S"-��� <br /> STATE LICENSE: # � 4�l 2 3`I y 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 permits! <br /> PROPOSED WORK(deseribe in detai�: �-�ctC �c�G� �cr � c�c�1 � <br /> J� <br /> STORIES: r SQ.FEET OF EACH FLOOR: (��6 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED��a <br /> ESTIMATED CONSTRUCTION VALUATION excludin land : $ 8b00•� � ,,' �� <br /> � g ) ,/ �,� ����1-� <br /> (J" <br /> 1 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 is not o sta itho t a ermit;and that the work will be <br /> in accordance with the approved pla -�''��� � <br /> � <br /> APPLICANT'S SIGNATU . DATE: ����—�� <br /> 31 <br />