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t � <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 i�iformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- . <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACT � <br /> JOB SITE ADDRESS: � �2 5 Fz� �a--5� t"� - 2 � ZIP: 55`'��► � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO !f yes, a special even!permit is required with Police Departinent and City Council approra! <br /> 60 days pr�ior to the event. Shuttle bws service tivill be requir•ed a�nless applicant a'emonstrates <br /> sufficient on-site parking is available. Non-per�nitted events will not be allo�ved. <br /> NAME OF OWNER: Q2�- i t�. .�z��c= PHONE: (home}a 5 2. 2-� � 3�+�� <br /> (work)G S z Z S��2 0� <br /> MAILING ADDRESS: 14s2 5 F-a���;5�1'-�Z� CITY: +�r�n�; ZIP: 5��t� <br /> CONTRACTOR: L � �n1��}� �-�-c- PHONE: `�SZ y`�� `��`�`+� <br /> CONTACT PERSON: L��-v�d v-���� MOBILE/PAGER �'`Z "L�2 �-1�q�i <br /> MAILING ADDRESS: ��yz Gzzt��is-1Ur� Dr,'.,.�- CITY: �Z�z�y�- ZIP: -� 5_`�� T� <br /> STATELICENSE: # Z�S�Zx�� EXPIRATIONDATE: � - � i - 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 review and permits ! <br /> PROPOSED WORK(describe in detai�: � Qa�- �k'� �, �c��-�r' S. ,�,1.� <br /> -�'-�,M. L, �,.�-� w;-�h ��,� - �h'r,�� <br /> , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �� "�' <br /> � <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 ofthe City and with the State Building <br /> Code;that I Linderstand 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 /> APPLICANT'S SIGNATURE: � DATE: '-l'� � - �� <br /> 3l <br />