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(�Y(, p'o�o1--O� <br /> . ` � <br /> Total Fee: $ 3 D�{ 0 Date Received: t�'-/7-+��o <br /> Entered By: Permit#: ,q�/p Z3 ! <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br />/ All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: _13`-1 a �e sf ��n-I- Ge ��.�.e., z�: � CD <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �l�t.1r� E �C�.vt,yte ���ti h�v�PHONE: (home)q S a-��{12-=7 aS` 7 <br /> (work) <br /> MAILING ADDRESS: 13y a Rest- �.�'��[�Q CITY: OI�Y1 O ZIP: �5 3j�t.�.-� <br /> CONTRACTOR: -�"�.c_�-� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: Nev�Home Addition Accessory Structure <br /> Mo�e Home Remodel/Alteration(ie: Siding,Windows) ,�_ <br /> Any earth movement may require MCWD review and permits! _ <br /> PROPO ED WORK(describe�n detai�: � a.�! ov Ye �C'L� L�GIM.,� 1,�1,�:�Gid� <br /> e Y�, <br /> STORIES: I SQ.FEET OF EACH FLOOR: �'ZU -" <br /> NO. OF BEDROOMS: ' GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��DDZ��I I�,�' <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 confo}mance 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 without a permit;and that the work will be <br /> in accordance with the appro ed an. <br /> APPLICANT'S SIGNATURE: DATE: c°� <br /> 31 <br />