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� � <br /> Total Fee: $ /OS� 7� Date Received: S�g—�0 <br /> Entered By: Permit#: A/�/6" <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 CONTRACTO <br /> JOB SITE ADDRF,SS: ��Q L,e7';�. �f• (�f�,p ZIP: 5��'��p <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No 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 />,r NAME OF OWNER: '..� a o� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �O\Q C.��;��n CITY: (''�C�, ZIP: �3.� <br /> CONTRACTOR: �,. PHONE: �SZ-9?-�o-1o89q <br /> CONTACTPERSON: OBIL AGER: '7b3-2$1o�'t-4Zg <br /> MAILING ADDRESS: �p S LL Y: 1� k ZIP: �1�.�( <br /> STATE LICENSE: # 2C�ln�$ 19 EXPIRATION DATE: � 31 09 <br /> ARCHITECT/ENGINEER: Nf�' " SGNt2. 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 ma require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: I�C.,t�a 34�7�11�� �oo� �� <br /> STORIES: , SQ.FEET OF EACH FLOOR: ��� �' <br /> NO. OF BEDROOMS: C� GARAGE STALLS: ATTACHED O DETACHEDO <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �S�> <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 /> APPLICANT'S SIGNATURE: DATE: � Z�"� v� <br /> �,. <br /> 31 <br />