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�. <br /> < <br /> Total Fee: $ ,S'��, (p� DateReceived: 8"�—d�o <br /> Entered By: � Permit#: ,4 /!S a-�D <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ��u <br /> (�,'� All information must be submitted in full before plan review will be started. <br /> `�� (please pri�zt all infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: «� �� 0 I� �1 �V��-�/ � ZIP: ��Z�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ �10 Ifyes, a specia!event per�mit is regurred lvith Police Departrrtent a��d City Cozrncil approval <br /> GO days pr•ior to t/�e event. Shuttle bus service rvil/be reqarired au�less applicant de�nonstr•ates <br /> sa ff cient ojrszte parking is available. Norz-per�i��itted eve�7ts tivrll not be allotived. <br /> NAME OF OWNER: (� ,��� 1 N-lJ L�� � PHONE: (home) �S�oZ�� ��� ' �� 3 � <br /> p� (work) <br /> MAILING ADDRESS: ���� ��t!►✓� �.0 CITY: ��G rJb ZIP: r-�`'� �'� <br /> CONTRACTOR: �)�( v �� S��i,t��l�� GJ"'�'� ��JPHONE: ��v� r� �6��`.'�1�'� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS• � � � � ' G E� CITY: ��Q�t,/!C� ZIP: ,j�y <br /> STATE LICENSE: #� O r 6 "' �a� � �'c�� EXPIRATION DATE: �T,o--,���y -��- <br /> l_ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure _�_ <br /> Move Home RemodeVAltecation (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in rletcti�: ��/,�''"j��4C��. d/�./�c� �,�'�c-�/'�'�� ��:� -� <br /> (�.7��✓�t� , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �c�i��� <br /> I hereby apply for a bui(ding permit and I acknowledge that the information above is complete and accut�ate; <br /> that the work will 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 permit and work is not to start�vithout a pennit;and that the work�vil(be <br /> in accordance with the approved pla . <br /> APPLICANT'S SIGNATURE DATE: � ,�C'� �j,( <br /> 31 <br />