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. —►, <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 CONTRACTOR <br /> JOB SITE ADDRESS: � 7 7 D 5�f-7�, y w po� �D ZIP: SS 39/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �1 NO Ifyes, 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 allawed. <br /> NAME OF OWNER: �aja(�L D (70,.��'�� PHONE: (home) ' <br /> (work) <br /> MAILING ADDRESS: �j-�r7/ CITY: ZIP: <br /> CONTRACTOR: SP(Z�w tr�R �ix�.R,,va•5 LL t. PHONE: qs-L-�/�!o-�`3'3 7 <br /> CONTACT PERSON: �'Y1��-E ��lA� S MOBILE/PAGER: 9S z-9/3-Z 8�5 <br /> MAILINGADDRESS: (?p. (3oX (o(oS CITY: PQ�o(LL� ZIP: s5 7Z <br /> STATE LICENSE: # Zoyo Z�SY EXPIRATION DATE: ' 3�/v <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 perm' its! <br /> PROPOSED WORK(describe in detai�:�,�.��vr i�ol�inc(L _ ��i�+c.� 5 y`/-� sid...�� � <br /> S/�7.��-[.�S �S a�fL�a[�� (Z-fh e.i-v�-� !-F+�7 Cs H.77L�1L3 • <br /> STORIES: �� /z-. SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SZ�fl o 0 <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 ardinances 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'SSIGNATURE: DATE: G�a�b� <br /> 31 <br />