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Total Fee: $ ��- Z� D"ate Received: T'"���;� <br /> Entered By: t��v,sg <-l/�r3 Permit#: �p 7�!� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before pian review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR��ONTRACTOR, <br /> JOB SITE ADDRESS: 1�5� S�p�'c.�c-e. 1" / ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event per•mit is required with Police Department and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service will be required zinless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �r`w�, �c�,s l�e-�j PHONE: (home)�� `1'7/'90C�Sr <br /> (work) <br /> MAILING ADDRESS: la�o �a r� P� CITY: �ra�.� ZIP: <br /> CONTRACTOR: �c'�4 V�—�I'�.I2. �a��" PHONE: <br /> "� CONTACT PERSON: "MOBILE/PAGER: (�l.2— 7 Y 3—3 6 `�7 <br /> MAILING ADDRESS: ��c� C c- e�k5� e Dr' CITY:�-��1'Y�T ZIP: �537.(� <br /> STATE LICENSE: # �c�po��c�� EXPIRATION DATE: 3�3 /— 0 7 <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 detain: D�k <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���c7C7 <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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> �. <br /> APPLICANT'S SIGNATURE: DATE: '�—/l—c� C� <br /> 31 <br />