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� 5��b <br /> � ���.�e' <br /> - Total Fee: $ DateReceived: ��S-D� <br /> , Entered By: Permit#: A /Da2/9 <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����ONTRACTOR <br /> JOB SITE ADDRESS: .3.3�0 ��JX S� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO If yes, a special event permit is required wzth Police Department and City Council approval <br /> 60 days p��ior to the event. Shuttle bus service will be r�equir•ed unless applicant demonsb�ates <br /> sufficient on-site parki�� is available. Non permitted events will not be allowed <br /> �,✓/JT'n S`r/�•'� �l�rC'S <br /> NAMEOFOWNER: G'�� �-c�•�Aj N�'�Gr� PHONE: (home) G�-�� -�a�"��-S ��''� <br /> '/ (work) <br /> MAILING ADDRESS: 7`G� �Z '� �, s�����S CITY: ��F�S��^ ZIP: S"S � <br /> CONTRACTOR: �QG��� Pa�� PHONE: 7G3 S�-�"�n�' <br /> CONTACT PERSON: o MOBILE/PAGER: 7�3 ' ��- Q�� <br /> MAILINGADDRESS: _3��51J)QNL�� ��9 N° CITY: ��`r''� ZIP: M <br /> STATELICENSE: # � �O�ZG6�5..2 EXPIRATIONDATE: D� � 0`7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Reinodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: ,�O ' x `��' �G��,� H�L tan.F� ,Sj,,.��.,�.,� ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: �� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 30, OQ�, � <br /> I hereby,apply for a building pennit 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 pennit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: d ��s � �� <br /> 31 <br />