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�. <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 all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ��°``� <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR i <br /> JOB SITE ADDRESS: i �t 3 S ('a,�Lv�c� ,c;�. /� � � ziP: SS',3 i � <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 required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicani demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF O WNER: Q v�j �c.�t t� PHONE: (home) ` <br /> (work) (D/Z ' y�.�- L/8C��1 <br /> MAILING ADDRESS: /'6� /tl{�rr►� /�'C�_CITY: �� /,��,K� ZIP: , ��'(� <br /> CONTRACTOR: � , .� � ������U��N vt fi PHONE: (v l Z- �p�-,�G�P� <br /> CONTACT PERSON: '�eJ� ��,��, rc� MOBILE/PAGER: �, j Z- 7 U%-.30�Q <br /> MAILINGADDRESS: S'O�p M�+cc� Ilis+rr !�;. CITY: (L1G4p1C �fc��rt ZIP: ,S�3S� <br /> STATE LICENSE: # �G 53 y Z,(o�i EXPIRATION DATE: �3T�/ C j <br /> ARCHITECT/ENGINEER: ---'—' PHONE: <br /> MAILING ADDRESS: CITY: - ZIP: -�--- <br /> NAME: — REGISTRATION: # - <br /> TYPE OF WORK: New Home Addition Ac ss ry 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�: S�d,`n C; v rti-t, �- � ��5� <br /> � � �' S h• � ��. f e iuc� 'Kevt <br /> STORIES: �� SQ.FEET OF EACH FLOOR: � C� � S(�G' <br /> NO. OF BEDROOMS: _,� GARAGE STALLS: ATTAC DETACHED O <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,'�,�QO °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 /> APPLICANT'S SIGNATURE: X��`G'���. DATE: �-pZ �- (j� <br /> 31 <br />