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l . �/ <br /> ��� (o� <br /> Total Fee: $ �']�7 S.� '� /`-�-'�-� �' <br /> Date Received: <br /> Entered By: Permit#: ���j��;.� <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 inforrreation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 'Z(Q� ��1v� l,(�u� I�' ZIP: S�S3Co <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /fyes, a special event permit is reguired with Police Departmenl and City Council approval <br /> 60 days prior to the eveni. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-sile parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: �B �rr- �I�i.:� PHONE: (home)�2-`{7 Z•3GO l� <br /> MAILINGADDRESS: �ZtoS ��.w„� dy,,�.ciTY: C�I�.av�c) �W�ziP�ss3���� <br /> CONTRACTOR � S PHONE: Ce�Z -�l�D -�G��o <br /> CONTACT PERSON: ,.`, MOBILE/PAGER: �,� <br /> MAILING ADDRESS: � CITY: ZIP: <br /> STATE LICENSE: # �-- EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: Jo�� PHONE: S,oiwQ.. <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) �_�G- <br /> Any earth movement may require MCWD review an pe� <br /> PROPOSED WORK(describe in etai�: N �L`�16C. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $3(',�DO � <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 the or ' ances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit an rk is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATUR • DATE: '.��'-�Ob <br /> 31 <br /> i, i�irL�� I <br />