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, � <br /> � ����b <br /> Total Fee: $ �/J�,� Date Received: -` l Z`� l�' � <br /> Entered By: �� Permit#: t�- % � C��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (please prij�d a[I informcrtion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ,�� F��U�!� L/✓ ZIP: SS3S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No !f yes, a special event permit is regiured with Palice Department a�zd City Coirncil approvc�( <br /> 60 days prior•to the event. Slnittle bus service wi!/be reqz�ired zrnless applicant dernonsh�ates <br /> suff cient on-site parking is available. Non-per•mitted events wr!!not be allolved. <br /> NAME OF OWNER: 5��� � ��� S��`"''�T PHONE: (home)�� `�� ���� � <br /> D � .�/>/I vi G�hl ��i�0 �work) <br /> MAILING ADDRESS: .3 9 CITY: ZIP: SS <br /> CONTRACTOR: ������'� ��� PHONE: �� �S�-Z•9Qo� <br /> CONTACT PERSON: MOBILE/PAGER: 1�- �.3��� `�'Gt9.? <br /> MAILING ADDRESS: �" ��°/��/>/' � 9 CITY: �L�'-"`'�� ZIP: S'S 3�f�� <br /> STATE LICENSE: # .?p�G6 5�S-Z EXPIRATION DATE: �j"��' <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGI5TRATION: # <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(descs•ibe in detain: .Z�✓ C'p��'�'� —Z-��X S�S � lii�yC ���� <br /> .f�.�-.� �P�[ <br /> STORIES: SQ.FEET OF EACH FLOOR: �� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �f- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �"� �`�'' � � <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�vith the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pennit and�i�ork is not to start�vithout a pennit;and that the���ork�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: j�' DATE: -s-��^Q7 <br /> 3t <br />