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. . <br /> . ' <br /> Total Fee: $ DateReceived: �// �� <br /> Entered By: Permit#: ,�Q//-0//a` <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION ��� 7� <br /> All information must be submitted in full before plan review will be started. <br /> (please print a/!information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��,.,�U Sl��',P,/'�/�C;(,t1 �i. ZIp; ��-3`J �' <br /> Will this be a Parade of Homes,Remodelers S6owcase 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 dcrys prior to the event. Shuttle bus service will be required unless applicant demonstrales <br /> su�cient on-site parking is available. Non permitted events will not be alloived. <br /> NAME OF OWNER: ���I� �o✓�.S ch PHONE: (home) �SL � yYy- ���� <br /> ( (work) <br /> MAILING ADDRESS: J ��z `�I .�/,�L CITY: ZIP: <br /> CON'TRACTOR: C,� `Sc t -�-S►c� v� • PHONE: �(93�2(a9-Fso2Z <br /> CONTACT PERSON: ►c,K l.o �n OBILE/PAGER: <br /> MAILING ADDRESS: 13�310 Sn �o„� St. t�t. _. CITY: �w l�a�c.�. ZIP: �� <br /> _ STATE LICENSE: # _3�,� EXPIlZATION DATE: 20 <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: r�-C�`+�� (2) l'��t�c;-�iiS�,.S <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> O�v <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 ofthe City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: "-��'/ � <br /> 31 <br /> ,.... 4.; ._ , --� �`" �� �� U� <br /> � <br /> �� ; ��� ,��� _ �� �� L. _ _�.�.� �,►o: ���, �/� <br />