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� <br /> � � '�� / �, <br /> Total Fee: $ � Date Received: � � I ��� <br /> Entered By: o, ) Permit#: c-;� / �i k'' /r. � <br /> CITY OF ORONO - BUILDING PERMIT APPLTCATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all infor�natio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: 3'3'�c7 f-oaz �vT_ ZIP. �'jS 3�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specral event per�mit is requrr•ed ivlth Police Department a�zd City Coa�ncil approva( <br /> 60 days prior to the event. Shuttle bus service wi!!be required unless applicant dernonstr•ates <br /> sa fficierzt on-site parking rs available. Non-pe�•��aitted events wil!not be allowed <br /> NAME OF OWNER: C'-�ie� # C,�c<<, I���c�,,, PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 33� t CITY: p2v�� ZIP: �5�� <br /> in;� 7��? <br /> CONTRACTOR: ►.�o���. -��r I-�i,.+,.�s PHONE: �'Sz- y7y- ��60 <br /> CONTACTPERSON: (�r:,,,a z��- MOBILE/PAGER: [.olZ ZZi _�,�'S' <br /> MAILING ADDRESS: �-{��/ � Sr CITY: ,�ls,o� ZIP.�S 3 <br /> STATE LICENSE: # 2.� 3�O�b(P EXPIRATION DATE: �,3-og <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING 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 /> PROPOSEDWORK(describeindetain: �'io.�} ;�.,���,, w.e,�r,w,�..�- i- Gn,�e, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding landj: � 3CXx�""' <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�vith the ordinances and codes of the City and with the State Building <br /> Code;that[understand this is not a permit and�vork is not to start without a pennit;and that the�vork will be <br /> in accordance�vith the approved plan. <br /> APPLICANT'SSIGNATURE: DATE: S-(8-�7 <br /> 31 <br />