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1 <br /> � I U(> <br /> � <br /> Total Fee: $��, S Date Received:� 7 <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: (ci�•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �'�/ � � �{-�{,���,�„x� �� ZIP: <br /> V1'ill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1'es �No Ifyes, a special event permit is required with Police Depart�nent and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be requi��ed unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OVVN�R: ��� �U,,,-,�c}rt�1 PHONE: (home) <br /> 1I (work) <br /> MAILING AllDRESS: C"�l� �`� t-t�y�„��=�� '�,� CITY: (���f�n� ZIP: <br /> CONTI2ACTOR: /�c I,n� L'n(--�,�-��-�:�' PHONE: �'Ii `��� `1�(�3' <br /> CONTACT PERSON: la-.�.� Sc�,��.(vz� MOBILE/PAGER: ���- �z� yo�� <br /> MAILINGADDRESS: �C�i �r 1�;�w 13��r� �� CITY: 5�;,�w:E� ZIP: s�;i� <br /> STATE LICENSE: # ZJ��,����c EXPIRATION DATE: 3 - 3� - �� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF VVORK: New Home Addition Accessory Structure <br /> Move Home Reinodel/Alteration (ie: Sidi��g, Windows) k <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSEll WORK(describe in detai�: -��u,� a!-!r � ,r�����- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTKUCTION VALUATION(excluding land): $ �� ���c� <br /> I hereby apply for a bui(ding permit and I acknowledge that the information above is complete and accurate; <br /> tliat tlle work will be in conformance witll the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pennit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> , <br /> APPLICANT'S SIGNATURE: DATE: � �' ��`�� <br /> 31 <br />