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. , ��'�;D� <br /> 3'�2 <br /> Total Fee: $ �$s. /7 Date Received: 3'�Z -�$ <br /> Entered By: Permit#: �//9/3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please prirtt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- -� <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO�R� <br /> JOB SITE ADDRESS: l% y�' �G�ti� �y Cl�octh: � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase 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 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER �; i i� 1' i e►2 �bh 1 PHONE: (home)_1,5�-`�7.�`'�/`f3 <br /> �> (work) <br /> MAILING ADDRESS: �DC�I �-l�C'�f"�,�y.�i {�o�,�CITY: �o� ',L'f' ZIP: <br /> CONTRACTOR: jZ�Pr•�; ��c'� �,���Sc:--C�y15�. �_.�L PHONE: �v i�-�1'�%p�%7 7 <br /> CONTACT PERSON: � r��i�,-� _ �,��:ti MOBILE/PAGER: lG�.� - �`�7-n� I 1 <br /> MAILING ADDRESS: �D�(j j��rli,ti-cf ,�'� CITY: i°�'��.�%�- ZIP: yy1.� <br /> STATE LICENSE: # ����Y'o�.� y✓`� `/� EXPIRATION DATE: �3 ��3l ' �'�j <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Add' ' n Accessory Structure <br /> Move Home �/Alteration (ie: Siding, Windows) <br /> Any earth movement may .require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: .� rJ�✓�ti ,�y���yir,.✓ t <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �3('i�D4 <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 wark is not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � .� DATE: � —�d ��v g <br /> 31 <br />