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Total Fee: $ a . �/ Date Received: �-��'0 7 <br /> Entered By: Permit#: _��D OD <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 OR��CONTRACTOR <br /> JOB SITE ADDRESS: �Ot�o �i� !�D � � 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 permtt is rega�ired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitied events will not be allowed. <br /> NAME OF OWNER: �iN�i S ��,5�1L PHONE: (home) <br /> (work) �C 12-ZS Z- 9 9 3 y <br /> MAILING ADDRESS: �,o � d L� � �`�CITY: 0✓D��a ZIP: _ss 3S' S� <br /> CONTRACTOR: ��+'i�`�-�� �5��1�tro� PHONE: 9�3 ' ZZZ -�3 3� <br /> CONTACT PERSON: t�vl� 14n4E�.so�/ MOBILE/PAGER: S�t <br /> MAILINGADDRESS: 3�'00 �/lLtC�sfo�� (ir✓ CITY: �y�"��� ZIP: �'y�'1 <br /> STATE LICENSE: # LoS 3 � �� Z EXPIRATION DATE: �� 3 ► 6 � <br /> ARCHITECT/ENGINEER: �a�-� 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�: g�E,-v��-�-' ��,�►�s � , <br /> STORIES: SQ.FEET OF EACH FLOOR: �-� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z�O � ,S7� � <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: ' t�+f DATE: ��l FlC a 7 - <br /> 31 <br />