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� M <br /> Total Fee: $ Date Receiv • �"�� `� � � <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 /> ,_. <br /> -- - _-� <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTO�� <br /> JOB SITE ADDRESS: �l-,v S!'h�!� dl� ` ZIP: ,SS.3 � / <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 Podice Department and City 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 permitted events will not be allowed. <br /> NAME OF O WNER: �,��� N��Gl��l l PHONE: (home) �I � ���� � �3� <br /> (work) <br /> MAILING ADDRESS: ��-S►'"� � ��� CITY: i�N o ZIP: _5�_5.�'7 <br /> CONTRACTOR: ��/SZ6a ��yiS��t.-�[.-���cm PHONE: ��.������7� <br /> CONTACT PERSON: �e�� �o,/s�,.-, MOBILE/PAGER: - � <br /> MAILING ADDRESS:S�yS�Ti�c�st•2��,1 .SE, ���°3 CITY: i''��oo/ %a.N ZIP: SS,3S I <br /> STATE LICENSE: # �a/-�j EXPIRATION DATE: 3 ,�/ v�� <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�eview ,and permits! <br /> PROPOSED WORK(describe in detai�: T � � � .�, ,,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ��J <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ o�` �, '`'/ J(�, <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 n to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: -�' l DATE: �"� �''"OD <br /> 31 <br />