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,,�r. <br /> f � <br /> I G'i k'. <br /> � <br /> Total Fee: $ Date Received: � � � v � d $ <br /> Entered By: 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 all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �Z-�5 �,�W�� � 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 reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus se�vice will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER� d(`n �j �C��f1�� PHONE: (home)9�� �?Z' �87? <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: � �OtL} � C. PHONE��2�Z� 6Q� 3 <br /> CONTACT PERSON: � D b MOBILE/PA ER: <br /> MAILING ADDRESS� � wea c a. -�' _CITY•.rndl�l�ewop�—ZIP: 5�51 l <br /> STATE LICENSE: # EXPIRATION DATE: " 3 V ^ O <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 /> Any earth movement may require MCWD revi w and permits! <br /> PROPOSED WORK(describe in detai�: .�j,.c,.� p.,.��, �,j,r - � c�v� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> L�L, BO <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �7�7�� <br /> I hereby apply for a building permit and I acknowledge t t the 'nformation above is complete and accurate; <br /> that the work will be in conformance with the ordinanc d odes of the City and with the State Building <br /> Code;that I understand this is not a permit and w r o t s rt without a permit;and that the work will be <br /> in accordance with the approved p <br /> � <br /> APPLICANT'S SIGNATUR �• DATE: �Q' $ <br /> 31 <br /> �I � ,�� I <br />