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u���1 cl/�'c.v�'� <br /> � �� � <br /> Total Fee: $ Date Received: �7 � / ��%U(� <br /> Entered By: i��j �;� Permit#: �����(1 q �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fnll before plan review will be started. <br /> (please print al[information) <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: ���(� ��1 py��;,,,,c �(Z ZIP: S S 3 9 l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No Ifyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shutile bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �r�`, �,� 1� ,-}�,�,PHONE: (home)�{52-�I�dto-�yo 5/ <br /> (work) y��•.�t <br /> MAILINGADDRESS: I��PO S1�,nrc I :►�.��I'I'Y: l�ucT� r�rA ZIP: SS�► 1 <br /> CONTRACTOR: 5�L-� 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 Home Addition Accessory Structure � <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WQRK(describe in detai�: 0��, �U� �� b��t 7�,Q�,�,,� <br /> ��o�v� ', '`Cv-� �c..r.�i � 2 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z b0, 0 �] <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the ity ar.d with the State Building <br /> Code;that I understand this is not a permit and work is not to start without ermit;and that the work will be <br /> in accordance with the approved - <br /> APPLICANT'S SIGNATURE: DATE: 5 "�—�Cp <br /> 31 <br />