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. � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt 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 1 ����1�(�,'�-7�{;- �7(� J�� ZIP: S �3�/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prio�-to the event. Shuttle bus service will be r•equired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: ��ZI� (� ��S �_ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: S � � r�� �''�-�-C F Yt� ��l CITY: o,�v�t o ZIP: � ����„ <br /> CONTRACTOR: �,n�U� ��-�c rnN(� �a u Stn�c�Tc�� PHONE: � �z � a � y��'Z. <br /> CONTACT PERSON: �n �c«- l�a-c;�.,�rc��r� MOBILE/PAGER: t��Z �u � �y4Z <br /> MAILINGADDRESS: !(;, �-z �����„„� �� n�� CITY: i�,���� � ZIP: :s�- � � <br /> STATE LICENSE: # �'7_�—�� EXPIRATION DATE: �.-z 1_ �� �� <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�: ;� �--� r �� F <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> J 2 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ,"� ''l'f(J �-� -- <br /> r <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 confarmance 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. <br /> C�.� � r �J <br /> APPLICANT'S SIGNATURE: ��_��� j�' �''� DATE: d Y� �O (� � <br /> .s��--... ._ <br /> L <br /> 31 <br />