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�� �� <br /> l� <br /> Total Fee: $�J U►�� Date Received: � / O$ <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �(3 �� -�i� �-1� N �Q y.� �Q,�e 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 widl be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �p �1,�Rs PHONE: (home) �63 Sl�?—ay77 <br /> (work) <br /> MAILING ADDRESS: ��� �!�r �VQ/V CITY: Oldl�o ZIP: ���6 <br /> CONTRACTOR: �� i' 2 PHONE: QS�"ro��'(o�� <br /> CONTACT PERSON: MOBILE/PAGER: 763`�17�1-1 S�.S" <br /> MAILING ADDRESS: �o?� J�?Q ►? ST"� CITY: /yiu�J PJ�Lq�h ZIP: 5�S3S`l <br /> STATE LICENSE: # d 0� �y�'77 EXPIRATION DATE: I'1'!a� 0R <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�: �u W/�o tc7- �f���'"gLl�'S/ a �` <br /> ��� y �e����q <br /> STORIES: ���'Lew�L SQ.FEET OF EACH FLOOR: /J�OB <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����' <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: (i DATE: � l� P� <br /> 31 <br />