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� ' <br /> Total Fee: $ Date Received: <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 a!1 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- -_-�--� <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> JOB SITE ADDRESS: �3 �d C��;ppe� �w e ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specia/event permit is rec�zrired i��ith Police Department and City Cotrncil approvnl <br /> 60 clays prior to the event. Sharttle bus ser•vice ivill be reqc�ir�ed x�nfess applicant clei��onstr•ates <br /> su�cient on-site parking is avarlab/e. Non-permitted eve��ts ivill not be a!/owed. <br /> NAMEOF OWNER �q� Le w�oi he PHONE: (home)gSZ�25'� �o�ao <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �j,�es� ,Qoa��ht , Src�i'ht. `�ne. PHONE: Z63 •y2�•`j�o9,6 <br /> CONTACT PERSON: p�,�,.��t Mt,,�l,�,,. MOBILE/PAGER: <br /> MAILINGADDRESS: 3J3 ,Tr�•�, h�v CITY: C�«p/��� ZIP:SS'�/6 <br /> STATE LICENSE: # Zoo 1 a2'�� � EXPIRATION DATE: 3-3/-O g <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 detai : <br /> ��,- .�' �} Bof �a se ,.c — �o s <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S' yy3 � <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( understand this is not a permit and�vork is not to start without a pennit;and that the work��•ill be <br /> in accordance with tl�e approved plan. <br /> APPLICANT'S SIGNATURE: �G��Q DATE: ��o�— <br /> ;1 <br />