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r <br /> l <br /> � � Date Received: <br /> Total Fee: $ ��{�, �S <br /> Entered By: Permit#: r <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 infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACT <br /> JOB SITE ADDRESS: J��`�' � �V�( �C�l�G� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �.NO If yes, a specia!eveni perntit is regztired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus se��vice wil!be reqa�ired unless applicant demonstrates <br /> su�cierrt on-site parking is available. Non-permitted events tivill not be allowed. <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: s�4-rn r� CITY: ZIP: <br /> CONTRACTOR:�1��. SC�'���- �.�1��5� PHONE:�(S� "�{7a--C S S'�' <br /> CONTACT PERSON:�v� MOBILE/PAGER: <br /> MAILINGADDRESS:(c68S So, SFI�.r�.Oc/ts �d�Or CITY:17'l�i�r�c�^ls�, ZIP: 5s3c L� <br /> STATE LICENSE: # EXPII2ATION 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 p rmits! <br /> PROPOSED WORK(describe in detcrin: �"g-�n_o�� d' r2.�– S1dY v�Gt��_ <br /> STORIES: ( SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7� o v O ' �- - �- <br /> I hereby apply for a building permit a'nd I acknowledge that the information above is comptete�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 understandthis is not a permit and work is not to start withouf a permit;and that'the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: =�. DATE: cJ— I �j 'O 6 <br /> 31 <br />