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��'"" <br /> �"' �_a�-D� <br /> �w <br /> Total Fee: $ •�`87•��o Date Received: � �-��J-L%� <br /> Entered By: Permit#: ��. j �(��, <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 inforination) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- �-_____--__.._, <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOT� <br /> �_.--. -. __._� <br /> JOB SITE ADDRESS: v�v� fl C� �c�lC�� �%�^� � �: ZIP: S S�S� <br /> Will this be a Yarade 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 p��ior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site par•king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �c� � �c�� Ct�n,�i X ��, � PHONE: (home) <br /> �, (work) <br /> MAILING ADDRESS: �C�C� �--cyt -Sf CITY: C��'� r�G� ZIP: S��'��� <br /> CONTRACTOR: ��� �� �j�p �'��� .�u t ��r� ('s PHONE: t.5� 'Y 7y -7l �-I <br /> CONTACT PERSON: aC'1 c r vt VC,�e v� MOBILE/PAGER: !o � � -� Ss- -�j 3.5"D <br /> --- MAILING ADDRESS: -��?___ 33� �Z;,�(.s'r CITY: �'x�=(s s e�' ZIP: ,SS 33 � <br /> STATE LICENSE: # � '� �" � 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 require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: /���{ s te�c��� C( �� �p <br /> � S� �C o��'c�� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � a � d� 0 <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 the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: r� :�� DATE: �� -� 7 <br /> n <br /> � _e��'i,��_`� ��Z �� G'� <br /> � 31 <br />