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Total Fee: $ �?'/. �� Date Received: �t "� � J <br /> Entered By: Permit#: �o� ,. DD/ 9 <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 /> -- __'� <br /> THE APPLICANT IS: (circle one) OWNER(�CONTRACTOR �� <br /> �/� , n �, �.----------- <br /> JOB SITE ADDRESS: ��l �-�� �j����-'�`> �� I�G'l ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'eS �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 reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> �'J � � <br /> 1T`�����C-�- � �(> _�_��-��' <br /> NAME OF OWNER: � ��'� �. PHONE: (home) � �E�,.,� <br /> n L.� _ (work) <br /> �� ``,� l_-'ff`s �� � C'i�� <br /> MAILING ADDRESS: ��- l'j�ac '' CITY: ZIP: <br /> CONTRACTOR:������� L����2�S�u� ^�-- PHONE: ������ �`�'�y�`�''���� <br /> CONTACT PERSON: u��� MOBILE/P,�GER: %°�`N-� <br /> MAILING ADDRESS:i C; �;,_�: �� �{(,. � _ CITY:���y���t��'� ZIP: `�>>�1� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> � - - <br /> ___. ____.__ <br /> ` <br /> TYPE OF WORK: New Home Addition �__Accessory Structure _ � <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement ay r qu ire MCWD review and permits! <br /> PROPOSED WORK(describe in detuin: C'�'��� ��(�'�����Zi� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> _ c<,v <br /> ESTIMATED CONSTRUCTION VALUATION(excluding tand): $ � <br /> � 'C��;- <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wil] 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 accardance with the approved plan. <br /> APPLICANT'S SIGNATURE: ./ ���'"' DATE: Ll `' -���' <br /> 31 <br />