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Total Fee: $ �'l�5.S� Date Received: �` ��7 <br /> Entered By: _ q,S Permit#: /�/D�j(o7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease pf•int all informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle aze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3��� S�ssc� /�� ZIp: SS�S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No /f yes, a special event per•n�it is r•eqi�ired wit/z Police Depai•tment and Ciry Council appr•ovc�l � <br /> 60 days prior to the everlt. Shuttle bus service tivil!be reqarired z�nless applicanl deaionstrates <br /> suffrcient on-srte parkrng is crvailable. Non�errniued events wi/1 not 6e allotived. <br /> NAME OF OWNER: ����'� C/Jri��7—Z PHONE: (home)95-2- 97 5�"Sj�S <br /> 3/(0 ,SJ/SS/`� no/�/� O/I9i✓� �work) <br /> MAILING ADDRESS: CITY: ZIP: S�S� <br /> CONTRACTOR: ������'� '��'�s PHONE: ��3 .S'�-Z-9�� <br /> CONTACT PERSON: �^1 MOBILE/PAGER: 7G3�.30� - 00.2 <br /> MAILINGADDRESS: 3��5 w �G`I /J� CITY: /ll�'�^•�t�l ZIP: SSS��I <br /> STATE LICENSE: # o?o.Z �S�S.z EXPIRATION DATE: 3�j/ -08 <br /> ARCHITECT/ENGINEER: PHONE: . <br /> MAILING ADDRESS: / CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPL OF V`✓ORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descrihe ir:detnin: -��✓C���O ..Zo ' x S�7�, S�"�MM rt�A.� <br /> �0 � .S9 F� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:. GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � `7��,��� • Qo <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork�vill be in conformance«�itL the ordinances and codes of the City and���ith 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 /> APPLICANT'S SIGNATURE: DATE: � ' --2 �7 <br /> 31 <br />