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• �� <br /> lP����� <br /> Total Fee: $ // . Date Received: (�� "r� �� <br /> Entered By: Permit#: �-�,J ���i��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plerise print a!l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> < . ,, .._ . ' <br /> . : ) <br /> JOB SITE ADDRESS: "t' ���G !lG�i ��1 __.-)"� IG✓-c_ ,`-// ZIP: � 5;:� ,�� <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If yes, a specia!event pernzit is��eqi�ired��vith Police Departrnent and Citv Coarncil approvnl <br /> 60 clays prior to the event. Shaittle Gus service rnill be�•equired unless applicant de��aonstr•ates <br /> sz fficient on-site parking is avai/able. R�on-perr�aitted events ivil!not be allowed. <br /> NAME OF OWNER: ,��c G( f �_ Gt f� i� ;'�( GC/�`/U<i��_�'HONE: (home) `�'� ��-'{ y�� y,� `%�; <br /> " � ` f- ,� (work) <br /> MAILING ADDRESS: ����:' ; ��Gi`�/? �'rG/< f�CITY: �. f. '� ��f- ZIP: `> > �-�-�� <br /> CONTRACTOR: � '�'/1,� < <�. C.z j �.� } PHONE: <br /> CONTACT PERSON: �,' j�; ��, �'��r�� �_ MOBILE/PAGER: <br /> MAILING ADDRESS: ` �; i�,� .�" CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � f �j}��.c �. Cc 'r�_c / 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 ay require MCWD review and permits ! <br /> PROPOSED WORK descr�ibe in detrri : r . f %��`� � ����=`�i�;.� -�_� � <br /> � � __f� ��L� � " �'�_ ��'�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �) - <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,,������ ��L <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 Buildin� <br /> Code;that I understand this is not a pennit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. '� , <br /> ,� <br /> `�.��� 7 : , l r <br /> APPLICANT'S SIGNATURE: �:- �L' �=C� `� DATE: - , �.-�C.�� .��G"��j <br /> .-- - <br /> <- , <br /> 31 <br />