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, r # <br /> Total Fee: $ a7 �7� DateReceived: <br /> Entered By: Permit#: 6'-00 <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: (circle ane) OWNER OR CONTRACTOR <br /> `?// � <br /> JOB SITE ADDRESS: �J.✓T ,.� �/ �o(� �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 applicant demonstrates <br /> su�ctent on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �p��/ ���^�Q� PHONE: (home)G/•Z--�2S0-7 I C.�(7 <br /> / (work) <br /> MAILING ADDRESS:S'�/...5' /��.�,��,,�,, /L�r�aj CITY:��s.�ti ZIP: s'S33 � <br />_ CONTRACTOR: ���s�e 2 �o�-,rt.c,��>��, PHONE: ��3-y?�a���b <br /> CONTACT PERSON:��o�c,� ��,�o„s MOBILE/PAGER: <br /> MAILING ADDRESS:�`�y5 z„.�.�2.Q l SE.SN��r/�3 CITY:�,�1�D/b,,� ZIP:S.�'�3'S 9' <br /> STATE LICENSE: # j� �7 EXPIRATION DATE: 3- 3( —v � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Sh-ucture <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 /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> J" // �-'� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 �d <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 d codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is n start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU DATE: �� '� 3 '�� <br /> 31 <br />