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. a � � <br /> �� <br /> ��.o <br /> Total Fee: $ �3� , D/ Date Received: �� D$ <br /> Entered By: Permit#: DO - p0/O <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: _Z Z-�� Sfl�ac.��� ZIP; <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 reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: (3��� �' Tcdp(c� ��5�- PHONE: (home) <br /> MAILING ADDRESS: Z�� ��'�'O���O�L"�'3�5953 <br /> 5��.� CTTY: C�r�+1p ZIP: <br /> CONTRACTOR: ��ls�rs�n ,,,�.(�, ,,,,� PHONE: ��Z-���tU 'Y��� <br /> CONTACT PERSON: ���.� /�(�,-s.� MOBILE/PAGER: 4s't- yyu- �1S'dr <br /> MAILING ADDRESS: t`k•�� �r�,� ✓�,c. CITY: r�a�(4..lc� ZIP: S'S37 Z <br /> STATE LICENSE: # zc�0 �_go�t 'i_ EXPIRATION DATE:T��Lo�9 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <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�: '��,.�s�. 4�� (,�..rc,l � /1�,u+•.�, <br /> 3/ti B�.� .� � d�c.-.a�-,. , (�.y.-,.�. /t�,o r..., � c,��.Q b..�. ¢.-crs <br /> STORIES: SQ.FEET OF EACI�FLOOR: ���d S� �iK�s�,..� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �,_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �o�ODU , <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 conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permi work is no to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��y ' U J <br /> 31 <br />