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Total Fee: $ 87 5 . -! �j DateReceived: �/b D <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 /> , <br /> Jos siTE An�REss:,�?�� 1 �'r��'�, f�" ,�c���<( zir; �5��/ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �10 If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the e>>ent. Shultle bus service will be reyuired itnless applicant demonstrates <br /> suffrcient on-site parking is available. Non-permitted ei�ents wi/I not be alloived <br /> NAME OF OWNER:��j�Q--�(j ����l1Sun,�pHONE: (home) ����7`� qs/�� <br /> T / (work) <br /> MAILING ADDRESS:,�c���/ (�,�SC{���c:ITY: C�-'�9�/�_;�-7�ZIP: 5" �j'/ <br /> CONTRACTOR�S�'/l1P L -^;�;� rQ�/l;'��i,�.��n.> PHONE: -��- - L�J�� <br /> CONTACT PERSON:� OS u/�7�iYl�,e,? M�BILE/PAGER <� /,�- �2� �-.�3��S! <br /> MAILING ADDRESS: O ' CZ>, � ��� CITY: /�i�N��i�(,cZIP: <�S'�.� E, <br /> STATE LICENSE: # ;5 S EXPIRATIONDATE: <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 equire CWD review and permits ! <br /> PROPOSED WORK(descr�be in detain:���C; .� ��? ��'�/t,/�?t�iy�-i�' ,�v <br /> �'P �� � �i7�: :,�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3������ G� <br /> I hereby apply for a building permit and[acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe 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 SIGNAT DATE: �' <br /> / <br /> 31 <br />