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.• �-�'" p� <br /> . �,3 . <br /> Total Fee: $ $7�v. 33 DateReceived: 8'�9'� <br /> Entered By: Permit#: �008 --DtS/ 3 <br /> �+-. <br /> ,�1,'�ti�� � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> , ✓ <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it al!informatio�r) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: �� �} O �,�-�.,�r ,f,� ��� �� Q� ZIp; 5� 3 5,(' <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 with Police Departmen!and City Counci!approval <br /> 60 days prior to the event. Shut�/e bus sen�ice i��il/be reguired un/ess applicant demonstra�es <br /> su�cient on-site parking is available. Non-permitted events 1vi/1 not be allowed. <br /> NAME OF OWNER: �a�� �;�Yv�� S PHONE: (home) <br /> MAILING ADDRESS: �48d �uh� � � CITY: ��'ork) - 13c�j <br /> � !� zir: S> � <br /> CONTRACTOR: lu r1,�i s �"j•rc+ PHONE: ��3 � 5�v�-c��cj � <br /> CONTACT PERSON: ;� MOBILE/PAGER: <br /> MAILING ADDRESS: ' w CITY: d �-.,�, ZIP: ��� <br /> STATE LICENSE: # EXPIRATION DA E: <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(deseribe in detai�:_ �r,5�\���Un o-� i �'�.-ca �c�:,�v�rQ <br /> �c��v►��, u�u t�JGo� ` <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3�,�/�'t� � <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 i�conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit nd ork is no start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: i, , DATE: f� I�-{l�� <br /> 31 <br />