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����-�' z C S �) S �-�-�'rv� ► S /�c� /�.�- ��� I`�/',�vi I� f�-d <br /> MUS� �� � �p � � � f� � � � � - 3 � �� r <br /> Z�O� �S�Irir�e Ir�e1� <br /> Total Fee: � Date Received: � � � �' r; <br /> Entered By: Permit#: �� J(� ���� <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 informatinn) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cir•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � � �����-� C�;.c�.t-. ZIP:'���� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO lf yes, a special event permit rs re�uired with Police Departrnent and Ciry Coa�ncfl appi�ova( <br /> 60 days prior to the event. Shitttle bus ser•vice will be�-ega�ired unless applicant de��zonstrates <br /> sirfficient o��-site par•king is available. Non-permrtted events�vill not be allotived. <br /> NAME OF OWNER.�2� + �.,)� ��,�y���.J PHONE: (home)(,5� --cY-}�72,. <br /> (work) <br /> MAILING ADDRESS:2�I�� J� � CITY:���`YJ ZIP�� <br /> CONTRACTOR: c� ;_ �-_ PHON�Cc�t���7 S�' ���, <br /> CONTACT PERSON: p,,�,, � � MOBILE/PAGER: ' <br /> MAILING ADDRESS:(g-�� �����,�►z ���c� CITY: \,��(_-f�►,�ZIP: �z �" <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> r.����.,��r���r.���: e���: ���: <br /> NAME: REGISTRATION: # <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(describe in detai�: ��,��� .�� � � �..�� �cc�. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH DETACHED_ <br /> � �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ;��G <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in confonnanc w'th the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a p r� � �k is not to start without a pennit;and that the work will be <br /> in accordance with the approved pla ; <br /> APPLICANT'S SIGNATURE: � DATE: (°j-�j <br /> �� <br /> 31 <br />