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� <br /> Total Fee: $ �. 7 Date Received: �- �7' 0� <br /> Entered By: Permit#: f�//��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al! info�•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �z�� (..�i 57-��►� I?��`� �� ZIP: S��""[ � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ I�es �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 /> su�cient on-site parking is av ilable. Non-permitted event.�will nol be allowe <br /> , urc.�� ��C� - <br /> NAMEOFOWNER: �(.jc. Lv�I�I� � �� PHONE: (home) \Z— .�����(� <br /> �WOCIC����-s�i��G,���L <br /> MAILING ADDRESS: �7'�`� (/LYjT�� i3�Y �;�,� CITY: (���2u�0 ZIP: -S S�}� / <br /> QNTRACTOR• - - PHONE• <br /> � NTACT PERSON: - OBILE/PAGER: <br /> � <br /> MAILING ADDRESS: CITY: ZIP• <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: N�/�, PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessary Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSEDWORK(describeindetai�: �Apl���iNy ��v�t�u� psv�.Y �u��.��!vy� ?�z{,vt, <br /> (;�o',�'c5� Tv�3S, �7�r�5A F.�� i)�1 D 1 �'tn�Zcr..�M <br /> , <br /> STORIES: _� SQ.FEETOFEACHFLOOR i-�- (S?� i��N;`�,�c� L�-� ;�c'%��� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHE � DETACHED_ <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 conformai�ce with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit��k is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. . ;,�' Z <br /> ; � � <br /> � �'��, /� �Ll � �- <br /> APPLICANT'S SIGNATURE: C� DATE: <br /> �i' <br /> 31 <br />