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� <br /> _ . . <br /> � (�f� � z �--7 <br /> Total Fee: $ �+ c�� Date Received: ��!� V / <br /> Entered By: _�',�y�,� Permit#: �I (L� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review witl be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> �---- --- . <br /> JOB SITE ADDRESS: Z(�5a C ,��}�,.,y s; J� br�vt W� ZIP: S S S�iv <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 applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted evenis will not be allowed. <br /> NAME OF OWNER: '�be�-�-� (o� �S��A�son PHONE: (home) q SZ-- 47s- i3�� <br /> (work) <br /> MAILINGADDRESS: 2(oS0 �,.��y� p�,,,�,,� CITY: ��cno ZIP: Ss3S-� <br /> CONTRACTOR: Kred.� �K-�,-,c:-s PHONE: (�51- ��' �� ��3bf3 <br /> CONTACT PERSON: g, �i 1��e+s<hv� MOBILE/PAGER: lo (z - ¢ �4-as�q <br /> MAILING ADDRESS: Sy sY� g��,�i,�s�,,,-� �kL� CITY: 1ti,,,cr fc��� t-+nZIP: �r S�o?� <br /> STATE LICENSE: # Zo 349 J 3 S EXPIRATION DATE: 3%3� /d�; <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 require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: <br /> Ivc r�ove �k�i<y �����n� uh.t �-5•� <br /> STORIES: `L- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED_� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S$, o SO , p o <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: _�/�2'� l�L� DATE: �(2 3�D� <br /> 31 <br />