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�" � <br /> ��'I���� ' <br /> � �� ,c:, c-- ���- <br /> Total Fee: � -� ; � - -' r DateReceiv : / �L Q <br /> Entered By: Permit#: �.,� <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 �2 CONTRACTOR <br /> �__ <br /> JOB SITE ADDRESS: 33dD j . G ZIP: �j� �� C/� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �'O If yes, a special evenl permit is reguired with Police Depai�tmeni and City Council approval <br /> 60 days prior to the event. Shutt/e bus service will be�•equired unless applicant demonstrates <br /> sufftcient o�a-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER•� /Z U T'���� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 330b �dx�j-�—• CITY: L ZIP: ��,3��p <br /> CONTRACTOR: (GG... • PHONE: 7 • Z �DD � <br /> CONTACT PERSON:-�� p MOBILE/PAGER: • Z • <br /> MAILINGADDRESS: �3�b �ol.��yv1�/vr CITY: �. � ZIP: � L(p <br /> STATE LICENSE: # `j 32 EXPIRATION DATE: � p <br /> ARCHITECT/ENGINEER: C�jj� Gc�oU,� � . PHONE: �z � 9z -oa�3 <br /> MAILING ADDRESS: � ��� .� , CITY:S�, ZIP: ��Z(p <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 ermits ! <br /> PROP SED WORK(describe in detai�: � '� <br /> �K G� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (��QDC� <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 th inances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit d w rk is not to st ��without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: — DATE: L D <br /> 31 <br />