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� �� <br /> �� j 1 <br /> Total Fee: $ 779 7 L. 1�\ Date Received: ("� 1 � � �� <br /> Entered By: Permit#: (� �-'� -C% 1 <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 CONTRACTOR <br /> JOB SITE ADDRESS: � ZIp� �^.�� 3.�� <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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �v( �i/"�C.�/ `S(,�,� � 't`� PHONE: (home) �tj,z-�O�gt��z <br /> (work) �l�'a0! ",$czL� $ <br /> MAILING ADDRESS: CITY: �/rj�a ZIP: �,��,�'L <br /> CONTRACTOR: (-� PHONE: _�'Jj�-�0��9��� <br /> CONTACT PERSON: p MOBILE/PAGER C�,- ac7!-3�.F9� <br /> MAILING ADDRESS: G�✓� �.�7'�' j'�(. CITY: �/-��, ZIP: , .r3.r6 <br /> STATE LICENSE: # -- EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ����1,� /'1' �v� PHONE: �,��- �j j��c� ?O? <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 /> Any earth movement may require MCWD review and permits! <br /> P OPOSED WO (dre/scrirbe in detain: (�(�, -��P y �-P `//N-U �(� � - <br /> � l/C,l �I' � �►" P — P�' Q c <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: � (� �-� <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��} z• �. o0 <br /> I hereby apply for a building permit and 1 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' t to start ' ut a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �—zG � G� <br /> 31 <br />