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� <br /> � <br /> � <br /> � !� ° <br /> Total Fee: $ 7. � � Date Received: �'�0�'D� <br /> Entered By: Permit#: oZ00 P'-- Q�oZo � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pleuse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR> <br /> JOB SITE ADDRESS: ���-j U ��,��I��„� �--�t (( � ZIP: �S�5�., <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display �Iome? <br /> ❑ Yes �NO I.fyes, 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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: T� �� ir��-��S PHONE: (home)9 S�._y��_ s��3 <br /> (work) -t b3--s t� --13 01 <br /> MAILINGADDRESS: ���,�-, puj„� �� CITY: t"1fl�,c'�s1c� ZIP� SS�f�k <br /> CONTRACTOR: 1„���s l,-�vns (-�,��r►eC PHONE: �-���-3Zp,3 <br /> CONTACT PERSON������ (��„��,�r(� MOBILE/PAGER: <br /> MAILING ADDRESS: _�S�� �, �-�-�Y 1 CITY: F-(,itc�e�-�C,���Q ZIP: 55�45 <br /> STATE LICENSE: # ����,���� EXPIRATION DATE: ��-zL, �, ar��t <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 detain: __C,p�1�-.,��--,-uc k,�i.. c�-� <br /> �v��'�v-t�v�e� L'1�L c�c��vt-�e c -� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Sr�.,,c�� <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 pla -� <br /> � <br /> APPLICANT'S SIGNATURE � DATE: C� -���O� <br /> �� <br /> 31 <br />