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� i <br /> �,�r��� <br /> � �0..� -61 <br /> Total Fee: $ 2� Date Received• �� �8-�� <br /> Entered By: Permit#: �Q//S g <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 /> THE APPLICANT IS: (circle one) OWNER O ONTRACTO <br /> JOB SITE ADDRESS: 2�0 5 (�a.�c�o �i�-� �I r� z�: 5 5 3�1 <br /> Wiil this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes,a specia!event permit is required with Po[ice Department and City Council approval <br /> 60 days prior to the event. Shuttle bus se��vice will be required amless applicant demonstrates <br /> su�cient on-,site parking is available. Nort permrtted events wil!not be allawed. <br /> NAME OF OWNER: /� � �' �cc�0% !y/e �HONE: (home) q5Z' �""��� <br /> (work) <br /> MAILING ADDRESS: ��q(nQ_. CITY: ��} ZIP: <br /> CONTRACTOR: /��eJ�. �N5-�,,��jOiJi �L PHONE: 9�j2-�-I2�� <br /> CONTACT PERSON: MOBILE/PAGER: (o�Z-9/9- $2 8 2 <br /> MAILING ADDRESS: 5 S CITY: i �IP: � 5C3/ <br /> STATE LICENSE: # EXPIRATION DATE: �T� D 8 <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) _?C <br /> Any earth moveme� may require MCWD review and permits! <br /> PROPOSED WO (describe in detain �_ C o fl q{�, <br /> ��W'� S -� <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): S. D�. �� <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 SIGNATURE. � DATE: D <br /> 31 <br />