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� <br /> � <br /> ^ �/Total Fee: $ �,�" ,� ���� DateReceived• ��' -��' U �� <br /> Entered By: Permit#: /��-� ����/(G <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full befo�-e plan review will be started. <br /> (plerrse pri»t all i�ifo�•rraatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �� C ���'}C�,''�;� ZIP: ��-�_ <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS ��10 If yes, n specia!event permit is reqarired wrth Po/rce Deparl�rrent and Crdy Coerr�cil app��oval <br /> 60 days pria•to t12e ever�t. Shzrtde biis ser�vice 1vi/!be r•eqarir•ed unless applicant dernonstrates <br /> siGffrcie��t o�z-srte parlci�7g is available. ���'or7-permitted everzts�ti�ill r7ot be allotived. <br /> NAME OI'OWN�R: `���_�_�.,��,�'���L, PHONE: (home) L C9 f �� <br /> (worlc) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ;L. �� 'L.C_._ PHONE: '�� -��11 -�� ,r1 <br /> CONTACT PERSON: � ', MOBILE/PAGER: �01�- 3Q� — �o��,j <br /> MAILING ADDRESS �CITY:�'s - � ZIP: �'�3� <br /> STATE LICENSE: #���l�p G/,�� EXPIRATION DATE. <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAM�: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windo�vs) <br /> Any earth movement may require MCWD review and permits ! <br /> ?'?2�?'G�SFTJ �I�RK;rl�screbe arr�det�ril;: �(�2 �.-�..ti e_C' ��_�.,c C�� �,.r� <br /> =�"�'�e �v.\� <br /> STORIES: �- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED llETACHEll <br /> ESTIIVIATED CONSTRUCTION VALUATION(excluding land): ��(� �� <br /> I hereby apply for a buildin�permit and I ackno�vledge 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 witl�the State Building <br /> Code;that I understand this is not a per�zlit and�vork is not to start without a permit;and that the work�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURF,:�� —� � � DATE: `�, C� <br /> 3l <br />