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A <br /> Total Fee: $ DateReceived: <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 OR � ONTRACTOR <br /> �, <br /> JOB SITE ADDUESS: �a��) �I2���,� LCo,�P (��,� ZIP: �-S 3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a specia!event permit is required with Police Departmenl and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 1't"�,� �� , ' �' �c c � � <br /> '�, S�'�LL)J � PHONE: (home) ;jt 1- J � <br /> /'- n (work) <br /> MAILING ADDRESS: ,��(.� I`(-R-�"U�l���i'�F�yCITY: ��%�{Y� ZIP: ��� <br /> CONTRACTOR: f�---;"fL L�l.l�� C�C�IG`���G:� PHONE: ���.5�-�f 75����%� <br /> CONTACT PERSON: � � � MOBILE/PAGER: �,]�.- ���k-�'j.�'�� <br /> MAILING ADDRESS: ) 7��-�S C�-4 /� ��f CITY: � (-�r �,�,� � ZIP: 5 S y <br /> STATE LICENSE: # �.3 5�' EXPIRATION D TE: j --3� - �; � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING 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 /> PROPOSED WORK(describe in detuin: "%�l�v�-v�` �- l�C(r�f�� C'�c�'Gv'�d�C�,l��,:I <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �.�. — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `�S� L�`�%�) <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�witJxbut aapermit;and that the work will be <br /> in accordance with the approved,ptan. � `� � �' <br /> � 'ti <br /> APPLICANT'S SIGNATU��; ' 2� � � ATE: C�� �`�� <br /> 31 <br />