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s � <br /> Total Fee: $ Date Received: �v`7—�lv <br /> Entered By: Permit#: A09 j�D <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pYint c�ll information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle o�ze) WNER R CONTRACTOR <br /> JOS SITE ADDRESS: �D� �j�ff'�c�5 f�(/� ZIP: �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO lf yes, a specral event permit is r�eguired tivith Police Depai•tn�ef�t and City Council appr�oval <br /> 60 clays prior-to the event. Sharttle bus service rvill be r�e9uired:�nless applicant den7onstrates <br /> sa�ficient on-srte parking is avazlable. Non-pe�•»�itted ever�ts ti�vill not be allowed. <br /> NAME OF OWNER: � � �/[I"�5 I� � Dl��PHONE: (h��) y�3��D?� <br /> (work) �j/3 ���Z-� <br /> MAILINGADDRESS: �ZD�D < <S �1/� CITY: ZIP: 3 t <br /> CONTRACTOR: �� f �ace�27r�y f LSi�L� PHONE�7(o3y y2�-SO�D <br /> CONTACTPERSON: Ue er' MOBILE/PAGER: <br /> MAILING ADDRESS: SS/( )(y or� ,l��.I�a, CITY:r,�y,� P�-R ZIP: SS��S- <br /> STATE LICENSE: # �OD�D`T�{Z EXPIRATION DATE: O <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 requi e MCWD r view nd permits ! <br /> PROPOSED WORK(descj•ibe in detain: o Y � • <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $� � � <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; <br /> that tlle 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. f) <br /> � <br /> APPLICANT'S SIGNATURE: ,�. ATE: �OD�j <br /> 31 <br />