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, <br /> Total Fee: $ �-F' I C��L ` / � Date Received: � e �7 <br /> Entered By: t���} �r.�'r ,:'-%���-/�Z ? Permit#: � �(����j <br /> J� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review wilt be started. <br /> (plec�se print all i�iformntioi2) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��(oP5 f�l� S���+�._c:� �> r' ZIP: S S � � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, n specia!event permit is r•equir•ed tivith Police Departr�ient and City Council approval <br /> 60 days prior to the event. Shtttt/e b:rs ser�vlce wi!/be r•eqzri��ed ttnles•s applicant derr�onstrcttes <br /> sz{fftcient a�-site parking is available. Non-per�rnittec�events ivil!not be allotived. <br /> NAME OF OWNER: �'�,��� �Lr��=E.n��;, PHONE: (home) (y�Z- �l(v"�S'G�'� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �c��3e2�- ��2^� r� Cr��"`�� . PHONE: G) S L- '��� -(v�3`� <br /> CONTACTPERSON: �o� MOBILE/PAGER: (DIz- (o�a - -7)�t3 <br /> MAILING ADDRESS:�(D� Z��' S i � 1�'I CITY: �k�c c„�1�;�2 ZIP: S S 3:� 1 <br /> STATE LICENSE: # �, Gl%.�� EXPIRATION DATE: 31�S�� g� <br /> ARCHITECT/ENGINEER: S�c�Y ���� �I--��=51�-� PHONE: `�SZ-�7b� �=f�S'o <br /> MAILING ADDRESS: �t-t� z N�� sr �� �o CITY: l:j�cz isl�� ZIP: SS j 2 / <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(clescribe in detain: <br /> �� �-�=-�� `l C'c�1�: i°C� � c:��s�' <br /> STORIES: � SQ.FEET OF EACH FLOOR: �E c �:.a�s <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED � DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(eYcluding land): $ �o c�o�o <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> tl�at the work�vill be in conformance with the ordinances and codes of the City and���ith the State Buildin� <br /> Code;that I tulderstand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance�vith tlle approved plan. — <br /> i / <br /> APPLICANT'S SIGNATURE: G�-- . DATE: �� U <br /> 31 <br />