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. �'�-°'dog <br /> Total Fee: $ 3r('p70 �� Date Received: fid` O <br /> Entered By: Permit#: <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: „� � h/��PY /Cites-1 Ptd, f�%Zti� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes IV/i No Ifyes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: YY 5 �� k- W,` PHONE: (home);O /a <br /> (work) <br /> MAILING ADDRESS-3/'o; CITY: ZIP: <br /> CONTRACTOR: PHONE: �k� � �t'? <br /> CONTACT PERSON: MOBILE/PAGER: (5�12_-&eT o <br /> MAILING ADDRESS: 42�� ,Ao/ CITY: ZIP: 5, <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER:,OF/-_/q/!*!?I ��J! K, PHONE: 3 -AW -000 <br /> Oft <br /> MAILING ADDRESS: Ila c, S'a,- NO CITY: ` ZIP: gSI"��!F <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home �J Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.:Siding,Windows) <br /> "Any earth movement may require MCWD Review and Permit! <br /> PROPOSED WORK(describe in detail): `/�,�,hj� JW, A mm-_ <br /> STORIES: SQ.FEET OF EACH FLOOR.,?963/ 7 <br /> NO. OF BEDROOMS: > GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 00 <br /> f <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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU DATE: /v2-.2& <br /> 31 <br />