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♦ � <br /> Total Fee: $ � - �� � l�� �� <br /> Date Recerved: <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ,��/f� � l�q�/yc�9�U� c� rrl ZIP: �S3�/=r�'-/Z/ � <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 approval <br /> 60 days prior to the event. Shuttle bus service will be reguired undess applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � 'Qvtv�� �.,Lc,✓'�g p ✓� PHONE: (home) �Z- �{1 �- 2'-� 7 � <br /> (work) <br /> MAILING ADDRESS: �Qto �(�q�1y�oo c� (^d CITY: D�r o�o ZIP: SS�91 <br /> CONTRACTOR: �;,,�.e,�. �.Pr,�,�� �-r„� c PHONE: 1�.3-y-Zt-�� Z.3 <br /> CONTACT PERSON: �„ S ct.� MOBILE/PAGER: '7�-� c��yS g <br /> MAILINGADDRESS: "y3p (���(.a,�a,., S{._ CITY: 14na k� ZIP: �"SY�� <br /> STATE LICENSE: # �oS o4�f��� EXPIRATION DATE: c�$ <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 detain: <br /> •``Y/�L� !J 4,'�N\A�3�' '4 � �� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ k��BO <br /> � <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 /> ?Y ��. <br /> APPLICANT'S SIGNATURE: 3 DATE: _� �� �.S�O'] <br /> 31 <br />