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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 OR ONTRACTOR <br /> JOB SITE ADDRESS: �S� C�vn.�r.tis���. P�►��c cves� ZIP: S S 3 S(p <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'eS ❑ NO !f yes, a special event permit is requi�•ed with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus se�•vice will be required unless applicant demonstrates <br /> sufficient on-site parking is available. �'on-permitted events will not be allowed. <br /> NAME OF OWNER: �er� �'o��sah PHONE: (home) `fS2- 47S- ►3�08 <br /> Sf}M E (Work) <br /> MAILING ADDRESS: CITY: br-o ho ZIp; ss3S� <br /> CONTRACTOR: 14��h F�,k-�cr�d� PHONE: �S�- 4�$ -�3�8 <br /> CONTACT PERSON: 8�1 � J.c 1t-FxM�o MOBILE/PAGER; (�I z- ¢!¢-�3s m1 <br /> MAILING ADDRESS: S�s8 Qlq�ksk•� n�-�'ti CITY: =t-�+.,� (��a 1++-ZIP: sso 2� <br /> STATE LICENSE: # 2 034� r3s- EXPIRATION DATE: 3 r 3� /o g <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 detain: _ S�cco t=ro.,-} � 6a,.t,�.� s:d�¢ Eleu�.-}+'., <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��i ���• � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and aecurate; <br /> that the wark 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 withthe approved plan. <br /> APPLICANT'S SIGNATURE: G�2s�—���%� DATE: 7�3/�0 7 <br /> 31 <br />