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� Total Fee: $ Date Received: /�—8 -d(o <br /> Entered By: Permit#: �j0��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pYint all i�foYtnatio�) <br /> THE APPLICANT IS: (cipcle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: l Z 3 O AR.��f� Sr� G���� ZIP: J�� � � f <br /> Will this be a Parade of Homes,Remodelers Showcase Iiome or other Display Hom�? <br /> ❑ Yes �No If yes, a special event per�nit is reqz�ired wdth Police Departrrrent and City Council approva! <br /> 60 days prior to the event. Shuttle bus service lvill be�•eqzrired u�tless crpplicant demorrstrates <br /> sz�cient on-site pa��king is available. Non pernzitted events will not be allowed. <br /> NAME OF OWNER: I-C-f( �.�.� P �r Co�l'N(E��iRT/l� P�ION�: (home} ��2- "(7.5�-loS�� <br /> (work) <br /> MAILINGADDRESS: 12.�Q /4R�OIQ,S�'. CITY: ORaN� ZIP: <br /> CONTRACTOR: .S� LF PHONE: <br /> CONTACT PERSON: p�F���r� M r�l 1�7'� MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATI011T DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAI�ING 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 /> P120POS��WORK(descrBbe iaa cdetain: (3 u �c.J A .���',r� e H�.1� G���A�� <br /> STORIES: f SQ.FEET OF EACH FLOOR: �/7 � � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHEID DETACHED� <br /> ESTIIVIATEI)CONSTRUCTION VALUATION(excluding land): � 2 D, a d 4� a� <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 SIGNA'fURE: ��'E: �o � � , U � <br /> 31 <br />