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. <br /> ,�,��� <br /> � Q <br /> � <br /> Total Fee: � �9�• 9S Date Received: !��Z-Dc.Z <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 /> -- � <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �<< ���� �-� ZIP: � 3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S � NO If yes, a special event permit is requir�•ed with Police Departrnent arzd City Council upprova! <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �%� �-�t �c��''�a� PHONE: (home) ��a' �76- d4 3 7 <br /> (work) <br /> MAILING ADDRESS: a� �t F�R�".�"' �� CITY: U✓��,� ZIP: �3� <br /> CONTRACTOR: �� I�eµ•-�.�.� � �-S�c.v�-�'-� PHONE: ��2 �"70 3-���'`� <br /> CONTACT PERSON: �,,,�a.., `�.�;,,,.,,,, t� MOBILE/PAGER: (�r2- ?03 � �?�� <br /> MAILING ADDRESS: S3'�--� �r� a►�.- CITY: �✓y S�*-� ZIP: S�"'Y� <br /> STATE LICENSE: # �S-g�9 6 EXPIRATION DATE: 3-3��08 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) X <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: /Gl��✓�,�..� �.µd✓�..�,��.-� <br /> STORIES: 3 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z S�c� <br /> I hereby apply for a building permit and I acknowledge that the information above is co�nplete 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 wor 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: � �—���� <br /> i <br /> 31 <br />