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Total Fee: 'i$ Date Received: <br /> Entered By: j Permit#: <br /> C�TY OF ORONO - SUILDING PERMIT APPLICATION <br /> All information must be submitted in full befoi�e plan review will be started. <br /> (please print all inforrrcation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH�APPLI�ANT IS: (circle orie) OWNER OR CONTR.A.CTOR <br /> JOB SITE ADDRESS: p���DU Gc•2-iK-� � � ZIP: .S�3 s?� <br /> Will this be a Parade of Homes, Remodeters Sho�vcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specia!event permit is required�vith Police DeparJment and City Cozrncil c�pproval <br /> 60 days pria�to the event. Shzrtlle bus se��ti�ice will be reguired unless applicant demonstrales <br /> sa�cient on-site parking is available. Norz-permitted events�vill not be allowed. <br /> NAME OF OWNER: .�c>�� � o ,�.-. PHONE: (home) " <br /> (work) <br /> MAILING ADDRESS:a�ov c.�k��f� �� CITY: DV���h ZIP: S S�� <br /> CONTRACTOR: ��Ja✓�c.s�,Q �-� 7- ,...�,ol i PHONE: ��3� �a`1-o2�i�7 q <br /> CONTACTPERSON: ie� MOBILE/PAGER: 7� 3— a�G -- �i�o <br /> MAILING ADDRESS: °1 CITY: c9S.Se�J— ZIP: �'3G� <br /> STATE LICENSE: # aDo i 7� ` 9 EXPIRATION DATE� 0�7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRA.TION: # <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(rlescribe in detr�i�: /� �7'�r,.-- �/� <br /> � - <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOlVi5: GARAGE STALLS: ATTACH�D DIETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �Zd��v?J <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is coinplete and accurate; <br /> that the work wiil 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 pennit and�vork is not to start without a permit;and that the work will be <br /> in accordance �vith the approved plan. <br /> APPLICANT'S SIGNATUI2E: DATE: � �� D � <br /> 31 <br />