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- , �(�2�,v 1� <br /> �' <br /> Total Fee: $ � �B 9.lo�7 Date Receiv d: �,\1 <br /> Entered By: � Permit#: �� �' <br /> c�1`-`� '�',�, <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (please print all iizfornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> - �----------�_-.�_..� <br /> THE APPLICANT IS: (circle o��e) OWNR,'tR OR�ONTRACTOR <br /> e <br /> JOB SITE ADDRESS: Z�Zd ��� �t-- ZIP: ,"��SS` <br /> Will this be � Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��,vo If yes, a speciaf event per�i�iit is reqarired with Police Dep�u�tnierat and City Coz�ncil approvn! <br /> 60 dnys prior•to the event. Shtdtle bzrs ser•vice 1a�ill be required i�nless applicant dernonstrates <br /> sufficient on-site pnrking is available. No�v-per•rnittecl eve��ts wrll��ot be allo�ved. <br /> NAME OF OWNER: ��14� /'�:pzt/�-CZZ,�,� PHONE: (home)(�a � - ��— <br /> MAILING ADDRESS: ` ZB -r't", CITY: �'��a W�ZIP: �� � <br /> . <br /> CONTRACTOR: � e `�'� PHONE:''Z"G�3-� Zr-�E�p o7 <br /> CONTACT PERSON: M BILE/PAGER: '�?�03 �op pps <br /> MAILING ADDRESS: D S o� CITY: ZIP: S � <br /> STATE LICENSE: # G� 20 Z EXPIRATIO bATE: Zoe-T <br /> ARCHITECT/ENGINEER: �cvlFii� PHONE:��Z-�1S—(�'�� <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 i�t let� <br /> ���;�c��vc av -�- !o, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> o-p <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �dO,E�E�o <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�vock is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> aPPLIcalvT�s s�GNaT DaTE: �0 1 d� <br /> 31 <br />