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Total Fee: $ Date Received: (f-Z7—�� <br /> Entered By: Permit#: /-�-/137e� <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 /> -- � <br /> � <br /> THE APPLICANT IS: (circle one) OWNER O$;.CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: j�yy� ,��c.,��' ,y�;_ ZIp; S� 3� � <br /> . ,� <br /> Wi(1 this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �P10 If yes, a special event pern�it is reguired with Police Department and Ciry 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: _ ��-M�/� PHONE: (home) �z- ��t 7- ,3/ )�r <br /> (work) <br /> MAILING ADDRESS: ���f�' /��,T���. CITY: U�?�,�:� ZIP: 55�r� <br /> CONTRACTOR: ,�.���b�� ���,.��5 ,c,i��_LZ` PHONE: `i SZ--�t?� _�7 3� c,� <br /> CONTACT PERSON: ��/��- � MOBILE/PAGER: G�� _ �-7� - 4. 3�� <br /> MAILING ADDRESS: �2Z v �:,>,�i I<� n�� �L� CITY: ��; ��a,�„ ZIP: ��� <br /> STATE LICENSE: # �/�J EXPIRATION DATE: <br /> n� �:� �a� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �y; <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �E��-a�.e�, C�.�a a <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: � '-�5 � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�'f,�� � <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 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'SSIGNATURE: ��/,�/���Z��' DATE: ��27 <br /> 31 <br />