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� s��� <br /> � � .�� <br /> I �`��` �` - -o <br /> Total Fee: � � Date Received: B l� 7 <br /> Entered By: Permit#: t�i i 3Z 8 <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All infor►nation must be submitteci in full befare plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle onc►� OW1�iER OR CUNTRACTOR <br /> JOB SITE ADDRESS: L3 8 U KD�-� I ro�-4 ttV�- ZIP: .5 J�3 '�l� <br /> Will this be a Parade of Homes,Remodeiers Showcase Home or other Display Home? <br /> ❑ Yes �•NO lJyes, a specral event permit fs reguired with Police Department and City Cauncil approval <br /> 6�days prior to the event. Shuttle bus service will be reqzured unless appticant demorrstrates <br /> su�cient on-site parking is crvailable. h`on-permitted even�s wdll not be atlowed <br /> NAME OF OWNER: ��j�,L�'f� �V Cl YI S PHONE: (home) (ll1 Z^ �O�-�{'��9 <br /> (tivork) (�I 2 - (�7i- 7 f1� �' <br /> MAILING ADDRESS: 13�Jd RcU� �OCc� � CITY: �>�t� ZIP: �5 39� <br /> CONTRACTOR: �� PHQNE: <br /> CONTACT PERSON: NIOBILEIP�GER: <br /> MAILING ADDRESS: CITY. ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> A.RCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF Vt�'ORK: New Hame Additio,� _'S( Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) _,�_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED��'ORK(clescribe in rletuin: � S-f'0 r�� <� �;-����,� !!��_ l� X y 3 <br /> bc �-�rn-. ) (�� (� x 3 LD. � ���x?.`� �t w:u a� <br /> STORYES: �,� SQ.FEET OF EACFI FLOOR: 7o P. 7 i 3. � $�,: j,�(�N �� <br /> NO. OF BEDROUMS: 3 GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTIDN VALUATION(excluding land): � i 3(�J , 0 GC) - � <br /> r <br /> I hereby apply for a building perinit and I ackno�vledge that the information above is compiete and accurate; <br /> that the�vork witl be in conformance�vith the ordinances and codes of the Cit��and�vith the State Buildin� <br /> Code;that I understand this is not a pennit and a��ork is not to start without a permit;and that the work will be <br /> � in accordance with the approved plan. <br /> APPLICAriT'S SIGNATURE: �� DATE: 0 ��� "� 7 <br />