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, `f-�-�� <br /> Total Fee: $ �.3 � Date Received: �ti �� ! � � <br /> Entered By: Permit#: /� !U '��- <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: (cif�cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���l� �. �r' , ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �,NO /f yes, a specia!event pern�it is required ivith Police Departnzent and Ciry Coimcil approval <br /> 60 days prior to the event. Slzuttle bus service will be required unfess applicant demonsti•ates <br /> sL�f crent on-.cite parking is available. Non-permitted events wil!not be allowed. <br /> NAME OF OWNER: �(u,.� �c��� PHONE: (home) 7�`����S� <br /> � `_ � (work) <br /> � / _ <br /> MAILING ADDRESS: Z 7�S ���r�-/-i:fi' % CITY: r��t (� ZIP: �-S � <br /> ONTRACTOR: ��/�%0✓C��l� ��5��--��L � PHONE: Cts��- �3�"S �`� <br /> ��ONTACT PERSON:� �' MOBILE/PAGER• � ��/- .sS��, <br /> 3/rn r�xc�����1�� <br /> MAILING ADDRESS: � CITY: ZIP: ��z;�l-� <br /> STATE LICENSE: # EXPIRATION ATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING A�DRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> " TYPE OF WORK: New Home Addition�� Accessory Structure <br /> Move Home Remode Alteration (ie: Siding, Windows) <br /> Any earth movement may. require MCWD review and_ perm'ts ! � <br /> PROPOSED WORK(descs•ibe in deta�n: � � � � d� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAG� STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �7 ,��� <br /> � <br /> I hereby apply for a buildin�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 oi 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�i�ork will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: — �DATE: �z � <br /> 31 <br />