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. � <br /> r , , <br /> TotalFee: $ � �lcj.�� DateReceived: � ���� <br /> EnteredBy: (`1���4� Permit#: PiILI`1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al1 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- � <br /> THE APPLICANT IS: (circle one) OWNER OR C0�ITRACTOR <br /> JOB SITE ADDRESS: ��S�v C �-�--.f y ���.� � � ZIP: <br /> �;-�t�� �'E lV <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S �✓ �10 If yes, a special event permit is reguired with Police Department and Cify Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER:;���///,� c��t /�1��y ��in 4 n��7 PHONE: (home) `" <br /> (work) <br /> MAILING ADDRESS:l��v (� �� CITY:��vn v ZIP: <br /> CONTRACTOR: %');���b� ����st� �.<< f; ,,,-, PHONE: ��3 -y��/— �'7�b <br /> CONTACT PERSON: ,�-�,,,,,� ��,��t ; ,� MOBILE/PAGER: �y� � a� �_v/�s <br /> MAILING ADDRESS: iy� _r,;�.,z: '„ , �,f ���:" i�>CITY: �>„��� ,�/;.,,� ZIP: _,-�3�9 <br /> STATE LICENSE: #�,�y 7 EXPIRATION DATE: 3 -3/ - �� <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�:%�� �_ �,��{ � �j,� ,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> C� � o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � /l ����. <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 not to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> 1� <br /> APPLICANT'S SIGNATURE: �� � ' DATE: � �7 'v� <br /> C ." <br /> 31 <br />