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� �`�� <br /> . � � <br /> 3�� � �s�'.D�- <br /> Total Fee: $ 3��-� � �c� Date Received: ! " �$��� <br /> Entered By: �/' � Permit#: � �1 (o� <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: "7 C� �� �C�t,4( �/��+� ��G4 I ZIP: <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 City Council approval <br /> � 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> � <br /> NAME OF OWNER: ���E �! S e i'l PHONE: (home) <br /> '��«�: �' '��� � � �"7Y � �� �u, (work)�S� �3,�"'1-�y��'� <br /> MAILING ADDRESS: _ _ ° E• c Q_, �f:��''L CITY: � �- ZIP: �'� <br /> CONTRACTOR: �c� ��'� 't' et7�Cc�-'I'� � PHONE: ��� '�3s".� �"y�`�'� , <br /> CONTACTPERSON: (�-� (,-���� MOBILE/PAGER: �!� ��'l� - L.r�y �(����, Z <br /> MAILINGADDRESS: /�/�, �,C� �Ickz��� `fru:� CITY: � lt �ZIP: �c�l� ^ �� <br /> STATE LICENSE: # (V{�- EXPII2ATION DATE: 1�o�`�Z <br /> .B�'#'��N Z <br /> A / GINEER:��,vi;.- �IGc �z�c 4r. PHONE: ��v�7'��v-3���'e l� <br /> MAILING ADDRESS: CITY: �u��/� ZIP: <br /> NAME: (`�/�i✓,wrc-P ��l���h -,�w 1 REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: �1a..v:�c�t � SlR.�t'L(�►�►�r'YLr'i ��v� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ .��,��� <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 e ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a perm' an work' ot t rt without a permit;and that the work will be <br /> in accordance with the approved plan. ^ <br /> APPLICANT'S SIGNATURE: DATE: � �" I �"�l � <br /> 31 <br />