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� , C�� 7 <br /> �a.l� <br /> Total Fee: $ ��� •�� Date Received: ��-'�-U 7 <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) WNER�OR CONTRACTOR <br /> JOB SITE ADDRESS: �Z`���� Cr�-<;,-,,, �� 1�� , ZIP: ��`�� ��� I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is reguired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. �:'�n permitted events will not be allowed. <br /> NAME OF OWNER c-`��7'=�F� � ����, �-rC .F PHONE: (home)���"��-y��f- I `.6 ^� <br /> (work) <br /> MAILING ADDRESS:��a���� �n,�._< <, r i� 2T; CITY• ����iy Z�R. ZIP• ��,��`� 1 <br /> CONTRACTOR: , PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: f�' 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 detai�: "�,!�-P�.�-r; c= ���- �� `-h� �, I� d <br /> f=�LT�(�ti.�-T!�t� <br /> STORIES: �=- SQ.FEET OF EACH FLOOR � `�,G ''� <br /> NO. OF BEDROOMS: �-; GARAGE STALLS: ATTACHED� DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, '�O �� , ' � <br /> I h�reby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance witll 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 accardance with the approved plan. <br /> �.�,�� , <br /> APPLICANT'S SIGNATURE:C`^.c.kla-�,�._ 1>r � DATE: �� `"��" O� <br /> 31 <br />