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Total Fee: $ ��7 (,7� Date Received: �"���/� O <br /> Entered By: Permit#: //���_ <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 OR CONTRACTOR <br /> JOB siTE Avn�ss: o?8'a 5 �as�d Pa;►-,�}- 1�. zir: SS`3 9/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O Ifyes, 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 demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: V�-�r d �4 �'� T PHONE: (home) 9•�a� y���oo'j <br /> Q/ (work) <br /> MAILING ADDRESS: ,��02 T�•sca/T ��• CITY: ��a ZIP: <br /> CONTRACTOR: Ca.�c ��-r: o�f PHONE: 7�;"7�''O°�Q <br /> CONTACT PERSON: {�c.-E-�� MOBILE/PAGER 7�l-a a 9-r 7 0 0 <br /> MAILING ADDRESS:/�/q 3 9 �Pa✓t.� S�'. �� CITY: /'�•+o�o v�e�- ZIP: S-�3 a`, <br /> STATE LICENSE: # �O 6� 9$f"ff EXPIRATION DATE: 3-3 /�� <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 detain:/jo o rC:'a g -- T P�' o`L� �� .� � i,✓o,�-e�- <br /> 'f'v Lod t � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ • �� <br /> �. <br /> � <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 wark 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: <br />