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' Total Fee: $ DateReceived: �'�9'4� <br /> � Entered By: Permit#: �loD57 <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 info�•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> 33-�i 8-as-��-a�i 8 <br /> THE APPLICANT IS: (circle o�ie) OWNER bR CONTRACTOR <br /> �= <br /> JOB SITE ADDRESS: ��� ��.��� ���� J���22� l-ft � � ZIP: � S �j��. <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO !f yes, a special event perrnit is re�i�ired 1vit1�Police DeparUnent and City Coz�ncil app��ova! <br /> 60 days pr�ior to the eve�rt. Shuttle bus service�vi/I be regiiired e�nless applicant dernonstrates <br /> strfficient on-site parlcing is avnilable. Non-pe�•rrritted events�vrll not be allolved. <br /> ��rsz �'73 -ss�zo <br /> NAMEOFOWNER: /��c./,(i�1zl� l�(//��r-ivl��-ti PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:3-� �''��'�t���`"� ��` << CITY: ����'� �.>k� ZIP: .��� <br /> CONTRACTOR: � ��`L l= '^ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �_ Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) <br /> Rny earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: �TTACHED / DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � %(;� �� �-t' <br /> I hereby apply for a building permit and I acknowledge that the infonnation 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 wlderstand this is not a permit and work is not to start without a permit;and that the�vork wi II be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: 12��'t.ex,� L1Jt-r�/1�y� DATE: �r Ly`�Z�� <br /> 3l <br />