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(�°t-13 D � <br /> • r <br /> Total Fee: $ ��{(� � Date Received: � <br /> Entered By: Permit#: Q/�f 34 <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: � 3Q � K6u ZIP: �S'��_ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'es � NO If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> ,� }.. <br /> NAME OF OWNER:. �� � � �,�,�,�(�e �2/� PHONE: (home) SZ �Hy—��7Z <br /> (work) ��Z g� <br /> MAILING ADDRESS:/��� �������( CITY: ;,i �:�, ZIP: � � �'- ' <br /> . �. , <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCffiTECT/ENGINEER: PHONE: <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 detai�: � � - �, , �� �� <br /> STORIES: \ SQ.FEET OF EACH FLOOR � •�- ' <br /> NO. OF BEDROOMS: �, � GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ - � <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 ordipances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit anGl 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 SIGNATURE: �' ��':� � DATE: ; C- / <br /> ���YV'2 L` � �1�.C�l S <br /> 7Q �� �5 �� 31 <br />