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c�. �� � �ss�-e S - 2� - v� <br /> � , w <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 /> -- _ � <br /> THE APPLICANT IS: (circle one)� �O��R�OR CONTRACTOR <br /> JOB SITE ADDRESS: <br /> Z Z��'7 ��a��;�,.;��� (��'� , zir:��� � I <br /> Wi❑ this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS �o 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 required unless applicant tlemonstrates <br /> su�cient on-site parki�is available. Non permitted events will not be allowed <br /> �A`'�- i-ii_��/� �IZ -Zi�� 1� 11 <br /> NAME OF OWNER: � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��-�� �1`'�'������°�'�(�n- CITY: t, ���'�-+G ZIP: h � ) <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: -{,` � CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame 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�: ��p ��� �-a%�S i� 4��!C-�^�c,.i t ��(���nR��^�� <br /> �`�`�'',,-�, l�i"�i.�nC�J -l- �7Pc\Chr?,c,�^1 ��-C�1 ��L- ��,•FrJ ����5 <br /> STORIES: � � 2 SQ.FEET OF EACH FLOOR: ����' ` <br /> NO. OF BEDROOMS: J GARAGE STALLS: ATTACHED Ci • DETACHED <br /> G L+ <br /> ��Oo -=- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> G�-'L r� � ���� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and ac urate; <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 wark will be <br /> in accordance with the approved plan. ,� <br /> /� 1 X� �� �-� <br /> APPLICANT'S SIGNATURE: �+� �'\U �I��j �� DATE: U � <br /> �.�� <br /> 31 �1 <br />