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«. <br /> � <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 /> (please print all infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: � g�� �cx2�tr� 1�1��v-� ZIP: <br /> C�Qo N� <br /> Will this be a P�rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ���No !f yes, a special event permit is reguired lvith Police Department and City Council approva! <br /> 6�days pi�ior to the event. Shz�ttle bus service ivil!be required arnless applicant demonstrates <br /> suff cient on-szte paf•king is available. Non pern�itted events will not be allowed. <br /> NAME OF OWNER: �d �e�d PHONE: (home) 9-S'Z 9 yY �2�Z <br /> (work) 9S2 -�l z - 2 z 8 7 <br /> MAILING ADDRESS: � `3`I� " ur�*�nt .Q'' CITY: ��ON O ZIP: <br /> CONTRACTOR: ���r� ��S�r�c�;�� ���- PHONE: �/Z- 5 99-y139 <br /> CONTACT PERSON: !�o u� MOBILE/PAGER: Co( 2-S 9 9-'f 13 � <br /> MAILING ADDRESS: P•o, ao� �FS7 CITY: �►���.2rou�� ZIP: ss3 g8 <br /> STATE LICENSE: # a Oo 973 So EXPIRATION DATE: 3- 3 t-a o0 7 <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-e� -o� �� �a f e- �'o�� <br /> STORIES: ' SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ,�/ � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ JSvU <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 ot to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I-�9"4Co <br /> 3t <br />