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. � � : <br /> . � <br /> Total Fee: $ �, Date Received: �� <br /> Entered By: Permit#: l <br /> CITY O 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 ONTRACTOR � <br /> JOB SITE ADDRESS: ��7�� f7�yf,�_ /?� v^�,, � ZIP: .S"����/ <br /> Will this be a Pa de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special event permil is required wilh Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficienl on-site parking is available. Non-permitted events will not be allowed. <br /> NAMEOFOWNER: C��.,, � /Y�o,��„ �Ja.,�„,,.� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �i�G v �3:��, ,� . /� d CITY: D���,, � ZIP: <br /> CONTRACTOR: ' ; . �, , . ; .. � � '., : ,i'. /.._ PHONE: >s? 91 >- ?.z 3� <br /> CONTACT PERSON: /rj,�� L''�,.._ , MOBILE/PAGER: ���- � �. -�--s.,-�, <br /> MAILING ADDRESS: �is 3� �- � s�} >< CITY: St�... , ,�, �; ZIP: s_� �r c <br /> STATE LICENSE: # 3 � �; � EXPIRATION DATE: 3 3� � � <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 detui�: :���,ti,,- S;�,. ,, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ L/U ��v " <br /> I hereby apply for a building permit and I acknowledge that the infarmation above is complete and accurate; <br /> tl�at the work will be in conformance with the ordinanees 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 /> APPLICANT'S SIGNATURE: � ���_�� DATE: `i- �"- � �' <br /> , �- <br /> 31 <br />