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Total Fee: $ ��c5• 75 Date Received: � �' <br /> Entered By. Permit#: �)���/'j(,//-�j <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 /> THE APPLICANT IS: (circle one) OWNER O��ONTRACTOR �' <br /> JOB SITE ADDRESS: ���v -��"J''� (,�u '� � ' -�� <br /> 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 required wilh Police Department and City 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 /> , � <br /> NAME OF O WNER: f` ;,����"i 1,0 ,���o�1 PHONE: (home) <br /> , (wark) <br /> MAILINGADDRESS:���Z�� ���Jr�l,Zo ��� ;�;� CITY: �;; ����af� ZIP: <br /> .� <br /> CONTRACTOR: � �?� ��� ,��'-y'�� b' <br /> �;��5 ��.z � �r�r ��_�,i ,�� ,,, PHONE:� � � 7��� <br /> CONTACT PERSON: j�_Ee �'��l<; .,,-, MOBILE/PAGER: � <br /> MAILING ADDRESS: ��U_c�.,;c.��c,�,�,.,� < <�-.�. �_�� CITY: ;1,,,,�1� �;�,.-� ZIP: �S_�1�� <br /> STATE LICENSE: # -;�S'7 EXPIRATION DATE: ;;- �i —��i <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�: ��'�,� �>,�'� �t � ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �, <br /> I hereby apply for a building permit and I acicnowledge 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 n �o start without a permit;and that the work will be <br /> in accordance with the approved plan. %''" <br /> f i � <br /> APPLICANT'S SIGNATURE:�� DATE: �w/ 7 � 6�c� <br /> 31 <br />