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* , � � <br /> � �I� <br /> �`�' (� / <br /> Total Fee: $ �D! 3.%� DateReceive : �'��/%�'� <br /> � <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <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 requi�•ed with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus ser�vice will be required unless applicant demonstrates <br /> su�cient on-sile parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �Gv►"� �Ar p�Sor PHONE: (home) 95 Z -�173",�`��y 7 <br /> v�. <br /> work <br /> MAILING ADDRESS: �n�� �°"�.� � �J�^.�(}��� CITY: Q���,,�,--, ZIP: .SS �' <br /> CONTRACTOR: \b� ���.-���-� PHONE: ��o�" S�I K'��`t5€;� <br /> CONTACT PERSON:'�"o.-�, MOBILE/PAGER (o(2,- 5 q b- �1���g <br /> MAILINGADDRESS: 3gi � Sc�fs.acc��,c� 1..s��n�,. CITY: ��,� r�a�-t� ZIP: �! I <br /> STATE LICENSE: # C�CJp 1 �j(p y EXPIRATION DATE: � b <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/A teration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��-(a`` x ��-O ��,�� ��r.�� �� ,�,� W,-4� <br /> \`� �v'�O Lp 't� t7'� �� ��J�' ��"�. C."y Gt� ` \ <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �,o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ _�', �'; r'aQ�� — <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 tl�e work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: , � I/►� DATE: c� I� J <br /> 31 <br />