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` �., <br /> V� '��� <br /> � C � � � � ��, <br /> Total Fee: $ ��� � � DateReceived: ��0 Og <br /> Entered By: Permit#: f�-/�/51� <br /> �— <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 /> — Z�P: ss3 a/ <br /> JOB SITE ADDRESS: ��S `��/`/�/��1� � /�, <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 Depai•tment and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant tlemonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��`�Q ��,��7 S�c,{9-��.l, PHONE: (home) a-L -?��y3 <br /> (work) <br /> MAILING ADDRESS: �a� y����u�� ��CITY: }�'-c ZIP: <br /> CONTRACTOR: � ��'}'l � �X �'���5/DNS PHONE: �/�- B��- �/�O <br /> CONTACT PERSON: ' �, MOBILE/PA ER - � " ' <br /> MAILING ADDRESS: "' ��' r w �/; CITY: � �-5�-� ZIP: ,� 3/� <br /> STATE LICENSE: #� �(�a7� �7� EXPIRATION DATE: 3-3/-�� <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 r uir MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: .����,� ����C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $� �G�, �� <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 of the City and with the State Building <br /> Code;that I understand this is not a pennit and wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU � - �� DATE: �"'��"�� <br /> 31 <br />