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f • <br /> Total Fee: $ Date Received: � D 8� <br /> Entered By: Permit#: P//9'7� <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,bR CONTRACTOR <br /> JOB SITE ADDRESS: 2`�(>� C:�SC� (�l �I�� Z1P: �753�I 1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��10 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 demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> � <br /> NAME OF OWNER����'S � `"����� PHONE: (home)�i�2- ZI? -�,�'�' <br /> ,�r� 'n,� (work)763-5Zt�- 53�� <br /> MAILING ADDRESS: L�(O5 C��c�%�`T M�-� CITY: ��� ZIP: 5`53`�L <br /> � <br /> CONTRACTOR: �IE�� ; .�''f'�'G'� PHONE: 7�C� "� �d '`�S/� <br /> CONTACT PERSON: �, MOBILE/PAGER: <br /> MAILING ADDRESS: Z 6 7�7 5��;�% l� �iG j' CITY: %'�,;�.+,�f G�rt✓ ZIP: ss'//Z <br /> STATE LICENSE: # $�--o�5� 7 I S EXPIRATION DATE: <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: �����/� �-1-�`� �=�� �'��' <br /> ���t�►..?��' (ZA��-���"�, ��� � �f�'� , �r.+�S��-c��� 'TI�t.�Vl <br /> I�,�J S'k4��1�-S �A�P}}��� <br /> STORIES: 2- SQ.FEET OF EACH FLOOR: I�a� <br /> NO. OF BEDROOMS: ? GARAGE STALLS: ATTACHED Z DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � ; ��� <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 wo ' not to start without a permit;and that the work will be <br /> in accordance with the approved plan. �' <br /> APPLICANT'S SIGNATURE: DATE: ��l� � �c� <br /> 31 <br />