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� <br /> Total Fee: $ i ���.� -� Date Receive : — �—� L_ <br /> Entered By: � Permit#: l ��'� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review witl be started. <br /> (please pf•int ctll infornzatioiz) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> - <br /> THE APPLICANT IS: (circle o�z�e)'�+ OWN�R OR CONTRACTOR <br /> JOB SITE ADDRESS:��p�j�j C����fl,�Q� ,� ZIP: �j���3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'eS �o Ifyes, a speclal eve�at perntid is regi�ir•ed ivitl7 Police Depnrtrnent and Czty Counci/approval <br /> 60 days prior to t/�e evef�t. Sh:ittle bi�s ser�vice ivill be reqi�ir�ed au�less applicai�t dernonsU�•ates <br /> sufficient on-site pnrking is available. r��'o��-permittect even�s will not be allowed. <br /> NAME OF OWNER o,� ��, a � -�.,r�, <-� ��=,�, PHONE: (home) Z 4�I����j�jQ <br /> (work) 3$ -�I q 2.� <br /> MAILING ADDRESS: Z (03 S Cp CITY: ��_ZIP: � � <br /> CONTRACTOR:� �, � � PHONE: c)$O" I�y-9 O <br /> CONTACT PERSON: _�o,.�o►r� MOBILE/PAGER: (�Zo� �,a , ��-�l� <br /> MAILING ADDRESS: °�TO 7_'� � � CITY: ' , 5 ZIP: 5��3 <br /> STATE LICENSE: # �5�Z�- Lp EXPIRATION DATE: <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 requi e MCWD review ar.d permits ! <br /> PROPOSEll WORK(rlescribe in detain: �,¢�a,�����ov,�sU�r�..-�- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> � <br /> ESTINTATEll CONSTRUCTION VALUATION(excluding land): $ 4 �� <br /> —T— <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�vork is not to start�vithout a permit;and that the work�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATUI2E: DATE: �� <br /> 3t <br />