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iv�C�vwa-r w�'K - K� z�►,y� ,�.��� <br /> Total Fee: $ Date Received: � <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 /> � � - / /� � ( � <br /> THE APPLICANT I ''�(circle one) OWNER OR ON�R�ACTOR�"�' � <br /> P a7�° <br /> JOB SITE ADDRE S 'w, L�n � zir: �S3S� <br /> U,bl t�wor I <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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be i�eqa�ired unless applicanl denzonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��f� o T �r Q n o PHONE: (home) <br /> (work)�.�•d.�f 9-�i6o 0 <br /> MAILING ADDRESS: �d ,�o,� �� ciTy: Cr„s f4 I�3�v z�P: �'S 3 d.� <br /> CONTRACTOR: � 0 0 PHONE: Sq m c. <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: h t s �Ad PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: ,�ru c e pa ul sG� REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home Remodel/Alteratio» (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: _�j�� j�'J c,p 1�o� yn f o pe( °C �!/ar�S <br /> � r <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��,�G ,�`� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �� DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �O,d�}p� <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 pennit 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: � � �/t,��- ��,�,J�Iy�ATE: / �" �� � D 8 <br /> 31 <br />