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� � �� <br /> � 5,,� <br /> Total Fee: $ -73G• l.� Date Received: �/ �� <br /> Entered By: _ �_ Permit#: Q <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 R CONTRACTOR <br /> JOB SITE ADDRESS: �'d0 �o►�e-5� ���� � ztP: S��`� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'eS Q No If yes, a special event permit is required with Police Departmen!and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��,5�� � ,���� �'Vl�y� PHONE: (home) �l� 5 1�41 av-Z <br /> (work)_ <br /> MAILING ADDRESS: �f>U ����/�iQh���CITY: ��� ZIP: S1s�� <br /> CONTRACTOR: � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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 detain:��,dQ,:-r-�v � 3� ,>�..q 57`-a.�� <br /> STORIES: SQ.FEET OF EACH FLOOR: 3,�8 � "�� <br /> �- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED t/DETAC ED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �- �1 � � � <br /> I hereby apply far 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 wark 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: � '� � � —G � <br /> 31 <br />