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�� <br /> , <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 al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> z38� <br /> JOB SITE ADDRESS: 'L39 I 8 Ia�n E �ven u� ZIP: 5 5 3 1 I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: {�0 bC�i�t N- Nard! (�Q PHONE: (home)�I52- �!7/-0J53 <br /> (wark) <br /> MAILING ADDRESS: L3�I 4�Gi�1� �V�_ CITY: Nc1U('.�Yr� ZIP: �5�3 I <br /> CONTRACTOR: ���f r�l ru � /�vo��i n � RF mcx�� I+n PHONE: (�l2-825-33 5 3 <br /> CONTACT PERSON: 0 1�ern h�` MOBI /PAGER: (912-3(09 -333� <br /> MAILING ADDRESS: l�0 ica�Ile v�P • CITY: /yr�nNa,��l�:s ZIP: � / <br /> STATE LICENSE: # �a 33 gq 8,3 EXPIRATION DATE: �--�I�O 7 <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 /> PROPO�ED WORK(describe in detain: <br /> �m o vN cnc� /'ea�a c� fob <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �C�O b , C��i <br /> I hereby apply for a building permit and [acknowledge that the infor►nation 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 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:���'� � l/ �-��— DATE: � �� �� �� <br /> 31 <br /> � <���.-Z`f�j — �{(�I(P <br />