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Z�o� <br /> �I� <br /> � <br /> Total Fee: $ U ��� � ! Date Received: /�-�� 'd7 <br /> Entered By: Permit#: �1//�q 7 <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 C�R CONTRACTOR_,� <br /> _ <br /> JOB SITE ADDRESS: �'� ��Q ��j �/�i(/ � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S � No If yes, 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 reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER�j-��j�r�c��t/ /Ui'C?�t Dyv PHONE: (home���-_���(- 5��� <br /> , (work) <br /> MAILING ADDRESS: CITY: �"i�p�/p ZIP: <br /> CONTRACTOR:�U G�� PHONE: ��-��'��C����f <br /> CONTACT PERSON: e e.� � .�h �MOBILE/PAGER: P��� �9 . ���y <br /> MAILING ADDRESS: 'u%� � CITY:�, � ZIP: S S,� }� <br /> STATE LICENSE: #�D���j� EXPIRATION DA E: O � <br /> ARCHITECT/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�: (��c�,���c�v /�I�c������,2T� <br /> Gohi�✓� �=✓..r��oli,S n�vS:c�F o�hvc�S� �r� o��.�� ,c+� <br /> STORIES: _� � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOM�: �� GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $���, ��Q.� � <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 /> � <br /> APPLICANT'S SIGNATURE: DATE: � -�C�� <br /> 31 <br />