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� / <br /> •- � � � ✓ <br /> . C°�- '� <br /> �r��J� ��/: <br /> Total Fee: $ 7(p 7�. D�p � Date Received: ' !� •b <br /> Entered By: � Permit#• �LLlL03 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print atl information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: ��'?j � �,�V y �L �p: _�� <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 Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless a ' rrew, rates <br /> su�cient on-site parking is available. Non permitted events will t be a wed. <br /> NAME OF OWNER: �Ol 1'"� PHONE: om�) ��Z �y7—Z��p <br /> � <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: N.�t/'r`�- D PHONE: �Z �-y7���S� Z <br /> CONTACT PERSON: MOBILE/PAGE 0 <br /> MAILING ADDRESS: �G � i�C �"' CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �� PHONE: 7��"'� ''�f�' 7 <br /> MAILING RESS: g/OG `wK�'.� CITY: ��x L ZIP: Y� <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 detai�: <br /> ��� p�,�� � . <br /> STORIES: Z SQ.FEET OF EACH FLOO�Zr'�'��l� �""�"�t �a , <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> � �..� •�.fi <br /> ESTIMATED CONSTRUCTION VALUATION(excluding`l�nd):�$���►Q� , <br /> t<,..�. ;��^ • <br /> I hereby apply for a�bu��'f'ng�iek nit and I acic-�d'v�le�lge that the information abc��'s�4c�mmplete'��t 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 wlthout a permit;and that the work will be <br /> in accordance with the approved plan. � � <br /> APPLICANT'S SIGNATURE: � ' � '��'� DATE: �Z� Q <br /> , <br /> 31 , <br />