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Total Fee: $ 33(. o�� Date Received: a-o�� �� � <br /> Entered By: Permit#: {�/�R'd3 <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: .``12U �vher Se,� „�o Z�: .5 5 3�')S <br /> � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO Ifyes, a special eventpermit is required with Podice Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su,�cient on-site parking is available. Non permitted everrts will not be allowed <br /> NAME OF OWNER: pe�e,� �' � � �; �j-;+�s��- PHONE: (home) Q5�` �IU� -7Z I� <br /> (work) <br /> MAILING ADDRESS: ��t 20 ��,a,,.5�,+ �-c,�n�CITY: r� _ZIP: M. <br /> CONTRACTOR: ��„�,� PHONE: �15 2.- �py- 721 t� <br /> CONTACT PERSON: Se. �on�, Sf�" or^,+d MOBILE/PAGER: ��1�- ?o f- l 17�j u <br /> MAILINGADDRESS: u7�6 `�'v�,n�� �• - � CITY: h��� 7IP: Ss3us <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: <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(describein detai�: iJ� `ab �- 51���„�,r. �r�t}�ce,S-- �w� <br /> ;le, �rt,a.�,►w� — Pc�:.nt � F.•�;zh - <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ ��, (94 d <br /> I hereby apply for a building permit an acknowled that the information above is complete and accurate; <br /> that the work will be in conformance i the ordi ces and codes of the City and with the State Building <br /> Code;that I understand this is not a pe ' a k is not to start without a permit;and that the work will be <br /> in accordance with the approved p . <br /> APPLICANT'S SIGNATURE. DATE: Z- 2't 'o ' <br /> 31 <br />