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. � ���� ^ <br /> ; <, <br /> Total Fee: $ •�Q�o �:� �� —' �� �' <br /> _ � Date Received: <br /> Entered By: Permit#: "' 1 l�- /C'-� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ,� I��v � T��- / /7v�- ZIp; S J� 3� l <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �o If yes, a special event permit is reyuired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus sei-vice will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER ���n: S �(�e yv�e�/ PHONE: (home) ����`��3' y���� <br /> (work) ���-�l 3(o `J��y <br /> MAILINGADDRESS: ����� ����,Jc�cc�.i � CITY: ���'/tu ZIP: �S�/ <br /> CONTRACTOR: ��L � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 _s <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: ,�lle;,,, /��.� . /V�, Pti fi� �,��x s,� �� <br /> �rti.,.i S�i,'z�P <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, C�U� <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 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. ,,/1 <br /> � <br /> , _ �, �J' <br /> APPLICANT'S SIGNATURE: � % ?�� ,d DATE: � ��—� 7 <br /> v <br /> 31 <br />