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. � <br /> 9 <br /> , <br /> Total Fee: $ ��•�� Date Received: g�3(-0"l <br /> Entered By: Permit#: A f 13g 1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �O �/c^V`���N �� �j( ZIP: ��3 � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS '�NO Ifyes, a special event permil is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be requirect unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: � c�,vy�.c� �l� C-� PHONE: (home) `�S1Z�`/ 7�=`i �t 3 � <br /> (work) (�l 2� 3(�;' -?l j�J <br /> MAILING ADDRESS: 5�� 1������c rf-� 4��U CITY: p�a �� ZIP: <br /> CONTRACTOR: S� 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 Remodel/Alteration (ie: Siding, Windows) �—' <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in deta��: '�'j,�� u}1�t��j5 — �.� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �� � '' G " <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 /> APPLICANT'S SIGNATURE: '' G'�j�`r"� DATE: � -' � I — �� <br /> 31 <br />