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. . �v� o� <br /> �'�� <br /> Total Fee: $ °2 7o � ' ` � Date Received: � D d�' <br /> Entered By: Permit#: Q3 <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: Z�� SS (,�t z��,� +.� �� (� zir: S53S <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No !f 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 events will not be allowed. <br /> NAME OF OWNER: /�� �. � J�-R�+vt� L'�-�`( PHONE: (home) Z�y�y �7z <br /> / ,��. �v (work> - - 2,�o s <br /> MAILING ADDRESS: ��ss (��ni2441�CITY: �i ,ov�o ZIP: S� <br /> CONTRACTOR: n , �c..�t£�2 PHONE: �(,� - 70 S� 8��/!� <br /> CONTACT PERSON: � MOBILE/PAGER: <br /> MAILING ADDRESS: � CITY: �7�,�1 I�r�,�IP: SS � <br /> STATE LICENSE: # 2d 3��y EXPIRATION DATE: 3/��/�Y <br /> ARCHITECT/ENGINEER: c. �ZC-ti rr1£� PHONE: -C�.�7�'SO <br /> MAILING�RESS: � CITY: W ZIP: <br /> NAME: !C M [�J,�� 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: k i T'��� � /.���2cx�M I��Mc�j�'E(_ <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � / S OC� <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 pla . <br /> APPLICANT'S SIGNATURE: � DATE: �Z � <br /> 31 <br />