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-,�����,-' <br /> j . . <br /> Total Fee: $ Date Received: <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 O CONTRACTOR <br /> JOB SITE ADDRESS: �j(c��C� �-�CY•e-` ��� ZIP: �sS 3� <br /> Will this be arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is requi��ed with Police Departnsent 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 available. Non permitted events will not be allowed. <br /> NAME OF OWNER 'J`���� �`�:�\vv`c.�tik PHONE: (hoine) �lS� -�{7( -C�`7�C� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��� ��a` � � � �w�c=r PHONE: `J'S3 -� �5 �� �S� <br /> CONTACT PERSON: C �v MOBILE/PAGER: E�o� -u�oZ� -:3( l�� <br /> MAILING ADDRESS: 702�-�(- t.,.:�7 5���oy- CITY:St lc�,�s Qc�,rU� ZIP: ���, <br /> STATE LICENSE: # ��'«��C.`�> EXPIRATION DATE: � z� –c�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) �– <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: <br /> `C—c��c- -a��' � ��.�r�o ' _� � - 4�y�2 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ � vZ, 3 oZ� <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 ordinances and codes of the City and witl�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 /> � � . <br /> \ <br /> APPLICANT'S SIGNATU . �� DATE: �=p� –�C� <br /> 31 <br /> ' ,' � I <br />