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�; <br /> i • , ' <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 information) <br /> _ _.____ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: ���`� j�\� U ��;�; �t�, z�: �'3.� <br /> Will ttsis be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> nYes � NO f;-e.r, a speci zl event perrr�it is r.9uir�a r.•it;z Police Depar:,�ne�:a,�d Ci y Ccuncil�;p�CYGI <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events wil!not be allowed. <br /> NAME OF OWNER: �`.QJ ,��0'c'1�-� PHONE: (home) �2 L1�1°I-��� <br /> (work) 12 (n�'d��1��3`\q <br /> Ma1LnvG avv�ss: Z�;� S�\��r �,r w -�;ci�: �;�::.�-� z�: 5�-�S� <br /> CONTRACTOR:��L,k S �i�,�i��i "� �j�c,�t��:, tv"t� - PHONE: �95� �45J3 CQ3`'1S <br /> CONTACT PERSON: .�\�.l `-. OBILE/PAGER: <br /> MAILINGADDRESS: �251a C1�;vi.IQvic1 �t.L CITY: rV f, ht�, ZIP: �r2 <br /> STATE LICENSE: # ��� EXPIRATION DAT . ��'�i /2�o <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(deseribe in detai�: 1�'cr,t"� L�-�_<� �� - r��,-� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��,�. �'� <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 1 understand this is not a permit and work is not to start without a permit;and that the wor�C will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��:�ff DATE: � l7 ( U <br /> `� • <br /> 31 <br />