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� - � / <br /> � <br /> � � <br /> Total Fee: $ ���Q� � �� Date Received: 9-Z-d8 <br /> � <br /> Entered By; � Permit#: �pp�- OD/�� <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 O CONTRACTO <br /> JOB SITE ADDRESS: �Z �� c��i4�-c�L l� ��, ZIP: ��,�',$�G, <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 approva! <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> � / / <br /> NAME OF OWNER: (�( ` / eS � PHONE: (l�e)�lZ �03-5�S'� <br /> (work) <br /> MAILING ADDRESS: ��(�S�,r�6� �i�: CITY: � n, ZIP:�-� <br /> CONTRACTOR: ¢Z��-. f�S�cS.04,-5 �.itC . PHONE: 4.5�� 933- 3�1a <br /> CONTACT PERSON: �'�,s{� ��c�e_. MOBILE/PAGER: ��Z ?�!-3b'r `� <br /> MAILING ADDRESS: l 3�l6 �c�«- �„�{. CITY: �1.�,c�� ZIP: _���;� <br /> STATE LICENSE: # EXPIRATION DATE: <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/ Iteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�:���l/ �c.�,,�„ aL !/,.� ;�/' l.�a� <br /> �� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z � 9Q� <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 permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � .S�s� 4 DATE: �Z �� <br /> 31 <br />