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.� <br /> f <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 /> (p[ease print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 02 O�� �S'�oY��i%7� dy ZIP: �S�9/ <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 required undess applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: /1�S �G'c yc��yG� �(' �rlid�'�ONE: (home)�/,�-7y?26fg <br /> (work) <br /> MAILING ADDRESS: aD$O S�o y�/,hP �ITY: o a�vr�o ZIP: �,s_�q� <br /> CONTRACTOR: ����-� �'e�,/� ,� ��od/y ��c PHONE: �6,�- Sy/-03 Oy <br /> CONTACT PERSON: � i�� BILE/PAGER: <br /> MAILING ADDRESS: qTv v /,�� iy✓L ,�/_ CITY: L � �f�ZIP: �syy/ <br /> STATE LICENSE: # ,?_O/SS.S 6 6 EXPIRATIO DATE:3/.3/l oX <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: T��,� p���' �'XiS�ii� f/a T yooF <br /> dr� c�Nc l�' � �C /%o/� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ f. 92�S ��-- <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 withouys permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� f� ��,��P DATE: a� �-2! —p�7 <br /> 31 <br />