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� ~ �-�a-0%� <br /> � <br /> Total Fee: $ a�J`�. DateReceived: �-�T�� <br /> Entered By: Permit#: Ab9$j� <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 2'�'��� (�^q.�Lp {�'( �, ;,�A;�(Z/��� ZIP: ���� ( <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o 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 required unless applicant denzonstrates <br /> sufficient on-site pa��king is available. Non pernzitted events will not be allowed. <br /> NAME OF OWNER:�i�!.� �A-N `�JT�� PHONE: (home)�52-�t"11 -�1b�2 <br /> (work) � <br /> MAILING ADDRESS: �71��� C�Si.c� W i" ►2p CITY: �vA`�2��� ZIP: 55�� �� <br /> CONTRACTOR: �-t�'r'M�t2.�tna.; ��.,5� '��ca. PHONE: `TI�:-3 ��Z7Z-3i�; <br /> CONTACT PERSON: '�� MOBILE/PAGER: '7�0� -°Z2ct -���,o <br /> MAILING ADDRESS: �o3-t cC;, ,�,, ;� 5�., CITY: �:.A:�o ZIP: �.,5. ry ". <br /> STATE LICENSE: # �g�y EXPIRATION DATE: M�n c�7 <br /> 1�+.�►�'����.9 <br /> : ,T�-�t! rTaN�St�r:, PHONE: �rZ-��� —`;��`3G' (ceil� <br /> MAILING ADDRESS: `E3;;F�',a%o , M ti 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 WOR��K(describe in detai�: <br /> �E:�. 4T7"E�c���� {�E:E � <br /> STORIES: r� SQ.FEET OF EACH FLOOR: (,,�D�.? <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED �. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z� CT�" <br /> I l�ereby 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 pennit and work is not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: Z�-M�`f � <br /> �� �.. <br /> 31 <br />