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r � <br /> _ ���� <br /> �,�� <br /> Total Fee: $ .� Date Received: ���7(b$ <br /> Entered By: Permit#: a`�,/`] <br /> CITY OF ORONO - BUILDING PERMIT AP��CA ON T <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) CONTRAC O <br /> 2 �D - % � <br /> JOB SITE ADDRESS: j' � ��J ZIP: <br /> Will this be a P�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ����0 If yes, a special event permit is reguired with Police Department and City 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. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �t�� �/ � /f�l PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �/'���TL11��E'.S � //jl' �. PHONE: �/Z��`7'" �� � <br /> CONTACT PERSON: - �� . MOBILE/PAGER: �/Z-,.3�'�/ �,� <br /> MAILING ADDRESS: s' L�' ,,, �r„� CITY: �0,� ��h ZIP: S�'3 <br /> STATE LICENSE: # Z�%!7 3 9(c� EXPIRATION DATE: ��'-- �� <br /> ARCHITECT/ENGINEER: � s �rrr��A�� PHONE: <br /> MAILING ADDRESS: ITY: 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 /> /Z�/��� ���'��l,e� s � �h 5,�,. <br /> STORIES: � SQ.FEET OF EACH FLOOR: /cj Z �' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `�E�I,��` <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 conformanc with the ordinances and codes of the City and with the State Building <br /> Code;that I understand tl�is is not a er ' and wo k is not to start without a permit;and that the work will be <br /> in accordance with the approved pl <br /> APPLICANT'S SIGNATUR TE: ��� I� <br /> D.� ���c� ��7�r��i-E� <br /> �D� <br /> ,_� ���������d� � ��� <br />