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f <br /> Total�ee: $ � �, "'� DateReceived: v' `..� �'���� <br /> Lntered By: ` Y2.� Permit#: � ��;;C>�+' ,, <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> r 4 All information must be submitted in full before plan review will be started. <br /> (�,���,� <br /> _; � - (please print all infor•mation) <br /> J ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ����y ( ��5��,O�:n� �',o� ZIP: �5��/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �lvo If yes, a specia/event permit is required with Police Depnrt�nent and City Council approva/ <br /> 60 days prior to the event. Shi+ttle bus sei•vice will be reguired a�nless applicant ctenzonstrates <br /> szff cient on-site parking is available. Non-perrnilted events will not be allowed. <br /> NAME OF OWNER:A���//���ilr�� d'/'�PS r PHONE: (home) <br /> �r / (work)�a'/�-�s�=CJ%f� <br /> MAILING ADDRESS: �y/� C �s�o �f ��CITY:�,f'�!ii>� ZIP: 5�3 <br /> CONTRACTOR: /, ( .y �� ' ` PHONE: ?��-y�9-�iss� <br /> CONTACT PERSON: MOBILE/PAGER: ���3 ��<j�' " 3�7� <br /> MAILINGADDRESS:�, �d �- CITY: L����� ZIP: >5..��'7 <br /> STATE LICENSE: # �p;/�y'S EXPIRATION DATE: 3 '". ��` <br /> � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Ho►ne Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movement may require MC D review and permits ! <br /> PROPOSED WORK(rfescribe in detnin: �/1-S P��°'�t� ��/'S� <br /> ,�'��� -�'- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2-�� cl�� <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 confonnance 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 wi out a permit;and that the work wi Il be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: ` �� 6` <br /> ; r <br /> 31 <br />