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. <br /> : <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 APPLICANT IS: (circle one) OWNER O `ONTRACTOR <br /> JOB SITE ADDRESS: _Z�po Cov„�r-v 2�0. � ZIP: .,SS 3 S� <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 undess applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Tb,c�c C,O.7Z2d PHONE: (home)��73_/�39 <br /> (work) <br /> MAILING ADDRESS: 7 C�c, Ce��-��_� CITY: ,b2��,� ZIP: �-�-3 s� <br /> CONTRACTOR: C�.a r�5 /2�avi=��✓z =-vc, PHONE: ysL-�L�- $�/ <br /> CONTACT PERSON: /�C-u�,� Cod T-�� MOBILE/PAGER: C: Giz-2.,7z-�g2�s� <br /> MAILING ADDRESS:.�'g�2 W�,ov ,avc CITY: ��i,v,e� ZIP: s�s2 y <br /> STATE LICENSE: # 20� Z�{�Z,� EXPIRATION DATE:_ o��� J� g <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�: TG;a2 oi=� �,v,v ,QC-2pc�,� <br /> STORIES: ! � Z SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 j Oc,.. �a v <br /> �r <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 /> APPLICANT'S SIGNATURE: ��j/,��_ ��� DATE: _��- ZG —a 7 <br /> 31 <br />