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i <br /> / <br /> ��-z ����� �-�a-o� <br /> Total Fee: $ Date Received: <br /> Entered By: � Permit#: ���J <br /> CITY OF ORONO - BUILDING PERMIT APPLICATrON <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: f 3 00 � T�— 1�Je /✓ ZIP: S S3 S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event perinit is r�egui��ed with Police Depai�tment and City Counci/approva! <br /> 60 da��s prior to the event. Shzrttle bars service tivill be regi�ired unless applicant cternonstr•ates <br /> suff cient on-site par�king is available. Non-pe��initted events�vill not be allowed. <br /> NAMEOFOWNER: Vc� Lt c� �l-�eP��} il� PHONE: (home) 9S�- y73 - 5 SS3 <br /> (work) 9S�- 9.2 Y � y 9'`/ <br /> MAILING ADDRESS: �30 0 6 �� ���- rV. ciTY: 020�� ziP: � <br /> CONTRACTOR: �2� �� /T- PHONE: Sr3 S� <br /> �s� - y76 - S-7�z <br /> CONTACT PERSON: i(o.-vr Tci'✓' MOBILE/PAGER: //� — g.So• o�9'f� <br /> MAILING ADDRESS: 3 yp ,(r �� ST, CITY: �Con�y <�4,FP ZIP: SS3S� <br /> STATE LICENSE: # 7g/S' EXPIRATION DATE: %tl�y ,�p� 7 <br /> ARCHITECT/ENGINEER: � p� � 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�: AOD� T�o� o �'3<� S T. � 5 <br /> ��. � .3k . /� �. � <br /> STORIES: � SQ.FEET OF EACH FLOOR: yyc� � <br /> NO. OF BEDROOMS: ?� GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � � S c�v c� �� <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 confonnance 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 �vith the approved plan. <br /> APPLICANT'S SIGNATURE: TE: � 7"' (�� <br /> 31 <br />