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��'°$ � <br /> . `� �,,� �1 `� <br /> ' Total Fee: $ .�2�' 3� Date Received: /(/07/D� <br /> Entered By: Permit#: o��Q �'-0037v <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 inforr�zation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one)�OWNER�R CONTRACTOR <br /> JOB SITE ADDRESS: c� y/�' �/�,Q/1-�,��( �Ti1P�? ZIp; �=��� `�" !` <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 required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus se�-vice will be��equired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events wilJ not be allowed. <br /> �, t�_. <br /> i <br /> NAME OF OWNER: r ' � /�'E' ;�'" �-4 �� Ir PHONE: (home)���''����-� u�e� <br /> (work) ��./� - �d i�s•y Oµr t� <br /> MAILING ADDRESS: o�`�/`� ��t'rh,�v� v T'i�s*�'r-CITY: .'��'��.y��4 r ,�' ZIP• ���"°?�`4 � <br /> �' ' <br /> CONTRACTOR: U �� �'-'�`� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: #___ _�___ EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: C�'� �.�'�^��`.'°� 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, Wi»dows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOS�j D WORKp (describe in detai�: <br /> I'CPFG� G�'<��f'C �.y%/� ✓`f-f r�;, � rt, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �D, D U CS���J <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 apermit;and that the work will be <br /> in accordance with the approved plan. <br /> S / ,I <br /> APPLICANT'S SIGNATURE: � �z�- ! DATE: /1 '� �'`'� <br /> � <br /> 31 <br />