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+ ' ��� <br /> . /�� <br /> � <br /> ^1 <br /> Total Fee: $ ��� • �� Date Received: ,�"� � � Z-�`l,-- <br /> Entered By: Permit#: ��► (�-Z� �(,�`�� <br /> � <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 APPLICAI�IT IS: (circle one) N R CONTRACTOR <br /> JOB SITE ADDRESS: �� �S (j ����G�� v ZIP: �' S -�5 �' <br /> Will this be� Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � YeS �NO If ye,r,a special event permit is rec�z�ired with Yolice Department and City Council approval <br /> 60 days prior to the event. Shzrttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is availuble. Non permitted events will not be allowed. <br /> NAME OF OWNER: ? � -�% � T�( �'�l�I��l� pHONE: (home) �S z 5`5��1 ��U� <br /> , _ �, °,�L� �1 1 - (work) G�/2 5 J�`�5�7,� <br /> MAILING ADDRESS: ✓ ) L- � �' Tl i,� J�% + CITY: r'�:%ri � ZIP: 53 _3�� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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 detai�: ,��;���;;�r_�r �� � �; %��_���1� _S/j� 'c.� <br /> , <br /> � �, �..-, r �::;:�--��� �.,a7��o>��. <br /> �� �,- � Z <br /> STORIES: � ,�SQ.FEET OF EACH FLOOR:������ C�` 'a �� ' <br /> NO. OF BEDROOMS: f� GARAGE STALLS: ATTACH`ED <- DETACHED �% <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� ��ll, �� <br /> 1 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 grdinances and codes ofthe City and with the State Building <br /> Code;that I understand this is not a permit�nd d k's not to start without a permit;and that the work will be <br /> in accordance with the approved plan. 6_ <br /> �r � ' -- � /� C�1 `�"�� <br /> APPLICANT'S SIGNATURE: 1 DATE: l <br /> 31 <br />