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� Total Fee: $ '?j�� Date Received: �-� ` <br /> Entered By: �;�'Yj�, Permit#: ;,�- (� 7, ?�7 <br /> �T � <br /> ;�� <br /> ' ` CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> \i'�' <br /> � . <br /> Cq`'�', <br /> � � All information must be submitted in full before ptan review will be started. <br /> (please pYint all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci�cle one) OWNER OR CONTRACTOR <br /> .ros siTE Annr�ss: _ (�<�� 5�„�;.�,� �-��. ziP: :Ss 3 r� I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If yes, a special event perozit is regui��ed with Police Department and Ciry Council approval <br /> 60 days priw�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: "� ( �����t-� PHONE: (home) �I a � 3 s'� -�7�c�, <br /> (wark) 1 S� � `l7 3� S��� <br /> MAILING ADDRESS: (s, c� 5��..: I-1� .� CITY: G��� � ZIP: SS3�r I <br /> CONTRACTOR: T� 3�,�^,��j--f PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hoine Addition Accessary Structure <br /> Move Hoine Remodel/Alteration (ie: Siding, Windows) X <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe iiz detai�: 1��� o('� t� l�ctcic� �,� h.��,,,.� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $���� <br /> 2, �Z� ^ <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; ��S�y� <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building �..��.-e.�� <br /> Code;that I understand this is not a pennit 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: � � �-��� DATE: 5� �� o�. <br /> 31 <br />