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_ � CQ �t..L�$, <br /> ���sl <br /> Total Fee: $ � � 3�'D � Date Received:�i °�� ` v�' <br /> Entered By: � Permit#: o�f� _d p�_� <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 /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: � �',s Sv SS��C' C v� ZIP: ,�� 7��S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �No If yes, a special eveni pe�-mit is reguired with Police Department and City Council approva! <br /> 60 days prior to the event. Shuttle bus service wiU be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ���n f j Q �� PHONE: (home)�— �76—�95� <br /> (work) G/2 — �y9_ 3Z3z <br /> MAILING ADDRESS: ,3�,5 ,SvSg� �.y CITY: �,�� ZIP: T S3 S6 <br /> CONTRACTOR: � r ��� � PHONE: � /Z� 3 7 7- O/z 3 <br /> CONTACT PERSON: ' MOBILE/1'AGER - d - `7G g/ <br /> MAILING ADDRESS: �f d S �lle�.✓fa� /�1Q .S CITY: ,` � a .SLIP: Jr,S��f <br /> STATE LICENSE: # �� Y ?p c� U o EXPIRATION DATE: 200 <br /> ARCHITECT/ENGINEER: S�a� � /'K�xr,✓�-`� PHONE: 73�� 3 3 7-3 3/� <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 detuin: j��,'lo{ G� z��v-o �s ,��� ;���� <br /> STORIES: J SQ.FEET OF EACH FLOOR: �4 rox `�O 0 s �� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETA ED ���L L <br /> Z�I, �Lv = �''t <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '��, `w <br /> ; <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 ardinances 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. <br /> _---_��--'---�'- <br /> APPLICANT'S SIGNATUR �� �� DATE: /� Z� "�� <br /> 31 <br />