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C�.� G�" � <br /> f �,.J C 'b <br /> �./ 0'1D <br /> 1 <br /> TotalFee: $ t���j�. �5�' DateReceived: �� (r"D7 <br /> Entered By: Permit#: /,�//,5�� <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: / �,��j S�'IA���/ t�c� /`7 � ZIP: S� ! � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No lf yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shutde bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAMEOFOWNER: � ,�����,p1�t 1�.-�J(� PHONE: (home) �������d <br /> (work) <br /> MAILING ADDRESS: S.�cM� CITY: ZIP: <br /> CONTRAZ"�'4R. E; <br /> CONTACT PERSON:.`._ _ _.__.__.___ ...__,_� _ ILE/PAGER: <br /> MAILING ADDRESS: �---��y�T--���_ _ZIP: <br /> STATE LICENSE:,�_-..----" EXPIRATION DAT : <br /> ARCHITECT/ENGINEE�:_.______.. _____---,----_ HONE: <br /> MAILING ADDRESS: tZ"��-_� ZIP: <br /> NAME: � REGISTRATIO V�'.�# — <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 irr detai�: i=iiv;' !.�}��r�.�f" <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (Q��� <br /> I hereby apply far 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 wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> __. ___ . <br /> > _.._,._.� <br /> _... <br /> APPLICANT'S SIGNATURE: L�_` ���,�.---- " � DATE: � 7 <br /> c___ _ --.__...._. <br /> 31 <br />