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w . <br /> • � t <br /> Total Fee: $ , Date Received: 1� 02 �� <br /> , <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 inforrrcation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB siTE ann�ss. 2X 7 l �'�s� D�� �d zir: S Sr3 �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ �10 If yes, a special event permit ts 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 /> suffrcient on-site parking is available. Non-permit2ed events will not be allowed. <br /> NAME OF OWNER: �� �o/yy�� PHONE: (home)�3�2-�1?f-�ZZ O <br /> (work) <br /> MAILING ADDRESS: �87I CGzscp �j1 CITY: ZIP: S'-S3y2 <br /> CONTRACTOR: !-r�re� � � s � PHONE: y7 f-;SZ�OS <br /> CONTACT PERSON• r' MOBILE/PAGER: <br /> MAILING ADDRESS: � j� ',�. CITY: /c ZIP: ���'�� <br /> STATE LICENSE: #,�pt�$/q Z,Z EXPIRATION : 3/3 t/D8 <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 MCJ�D review and permits ! <br /> PROPOSED WORK(describe in detai�: �2 ya� <br /> STORIES: Z_ SQ.FEET OF EACH FLOOR: � , p(✓�/ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHE DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �/�. SO� <br /> I hereby apply far a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 /> /' �i <br /> APPLICANT'S SIGNATURE: .--Z�.� ' DATE: � -2 .� <br /> 31 <br />