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. <br /> Total Fee: $ �S�� � Z� Date Received: � /Z�` ��` <br /> Entered By: � Permit#: __�j G�(G[� <br /> �-^'"�' <br /> CITY OF ORONO - BU�LDING 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: (circde one) OWNER OR CONTRACTOR <br /> JOBSITEADDRESS: ���Z S`jp���/�� /��ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? � <br /> ❑ Yes �o !f yes, a special event permil rs re�a�ired tivit/�Police DepnrtnJent artd City Coarncil appr•ova( <br /> 60 davs prror to the ever�t. Shuttle bus service wil!be required a�nless ap�licant dernonstrates <br /> suff cient o��-site parking is available. r��'on-perv�7itted events ivill not be allowecl <br /> NAME OF OWNER: L, OG.�e,Lr G��Z�a�� PHONE: (home),L/Z �16 C),j� Q <br /> (work) S Z 7S 3�8v <br /> MAILING ADDRESS31 i4 � � CITY:�� ZIP:,S-S� <br /> CONTI2ACTOR: l a -�i � � PHONE: /�2 ��J.��gC� <br /> CONTACT PERSON: �'// 2,/C� �'�'MOBILE/PAGER: a S '?� <br /> MAILING ADDRESS:� [ � CITY: � IP: �� 9 r <br /> STATE LICENSE: # EXPIRATION D E: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition ___�__ Accessory Structure <br /> Move Home RemodeVAlteration (ie: Sidiilg, Windows) <br /> Any earth movement may require/ MCWD review and permits ! <br /> PROPOSED WORK(describe i�z detai�: � t=lF S�—�l a �r...� —.L_`� �L U Vo��o/��� <br /> STORIES: / SQ.FEET OF EACH FLOOR: ��X � 2� <br /> NO. OF BEDROOMS: GARAGE STALLS: AT'I'ACH �D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): ��ZLTZ�-> <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 �mderstand this is not a permit and work is not to start�vithout a permit;and that the work wi(l be <br /> in accordance with the approved plan. _ <br /> APPLICANT'S SIGNATURE: ATE: ����'O G <br /> �; <br /> 31 <br />