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� � � <br /> ��,�,D <br /> , Total Fee: $ ��79 3•�7" Date Received: ���`� � <br /> Entered By: �j Permit#: � <br /> �oo -00 <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 R CONTRACTOR <br /> JOB S�TE A���ss: 3��d o� s'r— z�P: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �� Ifyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired un[ess applicant derrzonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER• • <br /> G//� ���N�_ PHONE: (home) <br /> work) <br /> MAILING ADDRESS: 3 y00 e� �i CITY: Q � ZIP: <br /> Ge«�s,�e �. � <br /> CONTRACTO�: �.�V � � HONE: <br /> CONTACTPERSON: OBIL AGER: �j/�•�d •y � <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> . /�.�r <br /> ARCHITECT/ENGINEER: �j��t„ ,��� pgp ;riS�i y�9�'v�1 <br /> MAILING DRESS: CITY./� , ' <br /> NAME: jL �J REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) _�/'� <br /> Any earth movement may re uire MCWD re iew and permits! <br /> PR POSED WORK(describe in detai : � � <br /> O �( <br /> STORIES: __.�__ SQ.FEET OF EACH FLOOR ��C� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTAC ED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, QO�_ <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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> . <br /> APPLICANT'S SIGNATURE: DATE: � <br /> 31 <br />