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, <br /> Total Fee: $ � �,�;�J Date Received: i' � 1��'2 (�;' "�.(.i V� <br /> Entered By: (�.���,4ti1 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 al!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB siTE anv�ss: ������ �,T�t,� f �.,T�' c���;�►�v ziP: . 5.��>�I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special evenl permit is reguired with Police Department and Ciry Council approva! <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonsU•ates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ���j n,f� ��� J� PHONE: (home) �`' - � � - ��� <br /> � (work) <br /> MAILING ADDRESS: `��/�J �� ���,���_,� � /'3,�,, ,�CITY: ��'��ry�,� ZIP: :��� <br /> �— <br /> CONTRACTOR: � � <br /> • � �' ;; �--� : PHONE: �5��y�.�-��� 7 <br /> CONTACT PERSON: � �' MOBILE/PAGER:,(..;��-��.� �-'��.�� <br /> MAILING ADDRESS: ��-�1��� r�'�,- ��' /� CITY: �,�;;�y1c� y����LIP: ._� <br /> STATE LICENSE: # EXPIRATION DATE: <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 /> (ny earth mo�men��a��ire MCWD review and permits ! <br /> PROPOSED WORK describe in detai : <br /> , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �C�/fJ� <br /> 1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confarmance 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 plan. <br /> APPLICANT'S SIGNATURE: ATE: �'�� ' �� <br /> 31 <br />