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�� � .�SbD� <br /> �` �,-�, .�, b� sr�'� <br /> I���'e ��S��`� <br /> Total Fee: $ U� 3. l�y �VV"�� DateReceived: � �G�-�� <br /> Entered By: ' Permit#: ,�l G�fc% <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) OWNER OR CONTRACTOR <br /> � A /�'� <br /> JOB SITE ADDRESS: ��� %d�,/,�'�A-�l/�E' Ci'.(�fi1� ZIP: � '�-�' �Z../ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No !f yes, a special eve��t permit is required with Police Depard�aent and Ciry Coanacil app�-oval <br /> 60 days prior to the event. Shi�ttle bus service will be reguired zrnless applicant denionst�•ates ��Z!� <br /> sz+fficient on-site parking is avail le. Non-permitted events will not be allotived���'t- ��j�' <br /> / ��� �� �� <br /> NAME OF OWNER: !J / <br /> � HONE: (home - <br /> / n � (work) <br /> MAILING ADDRESS:Q� �„�,s''h/�` Kc�CITY: ZIP:�� <br /> .�,�Dl��CONTRACTOR: � PHONE: 3Z0� = ZS,3� <br /> D�� �?y/ CONTACT PERSON: o v MOBILE/PAGER: /2— 20 ^�1 <br /> �,�� MAILING ADDRF.SS: � � CITY: " ZIP:<;'S� <br /> STATE LICENSE: # EXPIRATION D E: <br /> ARCHITECT/ENGINEER: Q�S PHONE: ,3Z0-��IS-Z$.3� <br /> MAILING DRES • CITY: ZIP:�S 3 <br /> NAME: �rJS 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�: �o�R}t� � � `-(�� <br /> STORIES: � SQ.FEET OF EACH FLOOR: �6F3-- 2,D o a / <br /> NO. OF BEllROOMS: � GARAGE STALLS: ATTAC ED DETACHED t/ <br /> �S'd'I1l�IA'I'ED�ONS'I'RUC'I'ION VALUA�'ION(excludis�g land): $ � <br /> 7 5 °d �� Jl.on� <br /> I hereby apply for a building permit and I acknowledge that the information above�coinplete and accur���sT�� <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building , <br /> Code;that 1 understand this is not a permi nd ork is not to st rt without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: -z' d ` _ <br /> 31 <br />