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(}�' � <br /> � �� <br /> �� <br /> Total Fee: $ D�-� � DateReceived: �G' Z� <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 all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- �-_..._.._. <br /> THE APPLICANT IS: (circle on�) OWNER OR�ONTRACTOR <br /> : <br /> JOB SITE ADDRESS: �j7�S f(/L/z:�� ���i�`t' y� ZIP: S�5�C �j <br /> Will this be a Paratle of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If yes, 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 /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> � /�j <br /> � � Z . 22�-3��( l <br /> NAME OF OWNER C/Gr��c. �/G s G�✓ PHONE: (home) `7`��- ��'� <br /> ��:���p��i.w,. <br /> (work) �'3f= �i� � <br /> MAILING ADDRESS: j�-�-. � CITY: '�i�U�%v ZIP: -�3� <br /> CONTRACTOR: /�„� v SG�� C��,,.5;� ��c- �-7�,� PHONE: <br /> CONTACTPERSON: ��K �r-���-SK,�— MOBILE/PAGER: <br /> MAILING ADDRESS: �,�Z�� ;,� r•l ���v� �j CITY• i�: �1,' ZIP: � `:,,�y " <br /> STATE LICENSE: # ����,;�'� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER ��,.-,-, C���so.--� �_'S,6,v S PHONE: (�5"/ , ,�fr - 3�`��j <br /> MAILING ADDRESS: CITY: �.,/;,,,�,3���y ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �� Accessory Structure <br /> Move Home Remodel%Alterat�on (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSE�ORK(describe in detuin: /���� ,/��=c<� ,�-,a/a �'��,,,�; �,y,-,� � <br /> /-1-5 �%.�/l ��'zr�-�.t <br /> STORIES: Z SQ.FEET OF EACH FLOOR: /U OD <br /> NO. OF BEDROOMS: �L GARAGE STALLS: ATTACHED��- DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S�io o `�—�� <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 ofthe City and with the State Building <br /> Code;that I understand this is not a permit and wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. �— �;% <br /> . <br /> .- " , , <br /> . �� <br /> j ,, �i, <br /> , <br /> APPLICANT'S SIGNATURE: �-��c'� ���---�'�-�-�� DATE: �i� � <br /> 31 <br /> � S�� vP.n�r4wC�i \�'�`�vi.�� rUh� l v�� ��-�r� S <br />