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� . <br /> Total Fee: $ c 'l•� 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 atl information) <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: 1`t � S 5��t-r w� � �" Zrp; SS'3� � <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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> �i�_ � �o - oS� �rJ <br /> NAME OF OWNER: �vv C-� ��� rn� n� PHONE• (home) <br /> (work) <br /> MAILING ADDRESS: 1� 7Sl ��C�u�`� �f. CITY: ZIP: <br /> l Al �r`7�-6:53� <br /> CONTRACTOR:�v• � S 1� ��I� �/�S� � PHON�:�91������-� <br /> CONTACT PERSON: �v ►� MOBILE/PAGER:G rd- -�56 )3�� � <br /> MAILING ADDRESS�S�B s S�, 5�.,,,.,uEAr �.k (�r � CITY: ►��'n,Ne"�r,j ,�� ZIP: SS�6 y <br /> STATE LICENSE: # S3c� �l EXPIRATION DATE: 3-3 i- �� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Mov� Hom� R�mod�l/Altgration(i�: Siding, Windows) <br /> Any earth movement may require MCwD review and permits! <br /> PRQPOSEU WORK(describe in detai�: �i°t� o�� St- �C.e s��,r�l� /{y{.L.t=� rs� <br /> i-1� �.�s -� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -�Sd� �� <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 /> APPLICANT'S SIGNATURE: DATE: � � �� - �Z <br /> � <br /> 31 <br />