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Total Fee: $ ��l s� Date Received: d/ <br /> Entered By: ��y�-� Permit#: �QD?�'-Dd0/� <br /> , <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review witl be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle orce) OWNER OI�CO�NTRACTOR' <br /> ; , � ;, , _. _ <br /> JOB siTE annuEss: ���c:u ��� �/�.�����x;,�,-�-�--z��� 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 requi��ed with Police Department and City Council approva! <br /> 60 days prior lo 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 /> � <br /> NAME OF OWNER: y�.�/� �� z�s� ��� PHONE: (home) ����- Y7���Ci�' <br /> (work) <br /> MAILING ADDRESS: ��;,,�- CITY: ZIP: <br /> CONTRACTOR: (`I<-��, ����G��rs �� /�'//�� PHONE: 7C � S�D %f��C%�' <br /> CONTACTPERSON: C-z>rr �'�'�� , N�� MOBILE/PAGER: ��/l 3 C q-/(�J <br /> MAILING ADDRESS: �i s�— �l�•�,� _ �� CITY: %l �r/S ZIP: _ z� <br /> STATE LICENSE: # "L�%� 5/3 ;� EXPIRATION D TE: 3 � <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�: /�� r� ,'c:_ �.� ,��,, i ;�,�!��.��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ �� �. C G, `-- <br /> I hereby apply for a building permit and I acknowledge thatthe information above is complete and accurate; <br /> that the work will be in confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a per�nit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. , <br /> �- � , , <br /> APPLICANT'S SIGNATURE: � C-� �_. �=� DATE: ��Z z/U j <br /> 31 <br />