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��O D <br /> Total Fee: $ �J � Date Received: �" !�—��� <br /> Entered By: �� Permit#: ,` ,�.T <br /> —, <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 O CONTRACTOR <br /> JOB SITE ADDRESS: �� l � C C� l 1�i �� �v � ZIP: S S .3���D <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �,NO lfyes, 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 reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: P }"rC�►rl C� PHONE: (home) a�a- �� 3 ���� <br /> .� 1 (work) <br /> MAILING ADDRESS: ���C� �O l�vJ �� CITY: L L k ZIP: SC 3�(v <br /> CONTRACTOR: Cl.c ST�-'Y''� �OU I� �hC PHONE: �,��- �i-�3 a—�SS- <br /> CONTACT PERSON: SG�n �� (v�✓�- MO�ILE/PAGER: <br /> MAILING ADDRESS: ��� �`��Z� �,lcF��orc�� CITY: t-E dp k�nS IP: �S 3`1 3 <br /> STATE LICENSE: # S G c�-�j EXPIRATION DATE: �� D <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: C1TY: 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 permi�.,s! <br /> PROPOSED WORK(describe in detai�: Sr�� y C�l,�✓1 Ip .�j t�.% � vv� V✓t�. L�1�' ��� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� � �G� <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 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 /> � <br /> APPLICANT'S SIGNATURE: 'Y\ � G� DATE: � a �� <br /> 31 <br />