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� t �� �..% <br /> y `y v :J <br /> Total Fee: $ ;���'� � �� Date Received:` 0 ���' �'� <br /> Entered B � <br /> y: (j,n Permit#: (��L� ^ <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 /> -- � . � <br /> 7['HE APPLICANT IS: (circle one) �OWNE13,`OR CONTRACTOR <br /> i� <br /> ITE ADDRESS: � � ���C �T.P��' zlP: �535 ` <br /> �;w isi �►iis be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'es ��No If yes, a special event permit is required with Police Department and City Council approval <br /> Y 60 days prior to the event. Shuttle bus service will be�-eguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF O WNER: �l���� • I�.l�.�J PHONE: (home) QSZ•��� �'�"1� � <br /> (work) �I 2- �.�1 '�SB�'' <br /> MAILINGADDRESS: {�•0• P.�U�. S`��p CITY: " � ZIP: �(o <br /> CONTRACTOR: HONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �Cl���-.. D�14/�l �C,PHONE: �103• 5�C• 53oC <br /> MAILING ADDRESS: tda� �le �✓P. N. CITY: ���i�1 ZIP: 55�3, (p <br /> NAME: ���,��y;�, REGISTRATION: # �,2.�-�--3.�. <br /> TYPE OF WC�RK: New Home Addition Accessory Structure � <br /> Move Home Reinodel/Alteration (ie: Siding, Windows j <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: �`� ��a�''���� <br /> STORIES: SQ.FEET OF EACH FLOOR: I p� � � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �V ,�C� � <br /> I hereby apply for a building permit and I acknowledge tl�at the information above is complete and accurate; <br /> that the work will be in conformance witll the ordinan and codes of the City and with the State Building <br /> Code;that I understand this is not a permit a w rk i not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU _ DATE: �a b <br /> 31 <br />