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�W p q � <br /> Total Fee: $ ��6 �''� ��I�I� DateReceived: 7//ll�� <br /> Entered By: Permit#• p3�jJ8- �0� <br /> � <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 informl�tion) � � ._ <br /> --------------------------------------------------=���---------------------------------------------==--�---------------- <br /> -- �',� <br /> THE APPLICANT IS: (circle o WNER OR CONTRA�'�OR �''� <br /> / � ��-___:— ___ _�.___� � <br /> JOB SITE ADDRESSt���I ��!� �V����� ZIP: � ���� <br /> Will this b a Par e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes ��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�cient on-sile parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER:���1 � �►��'� d�� !l�P PHONE: (home) <br /> (wark) <br /> MAILING ADDRESS��dI ���� �`�'' CITY ir�h� ZIP: �'d'-�]� <br /> P <br /> CONTRACTOR: l���1�✓�P P�1 �IC'�'S PHONE: <br /> CONTACT PERSON: Y( �,��r'i�l MOBILE AGER: �3��� 6 jl_ <br /> MAILING ADDRESS: � 0 d �' CITY:�ybrn� a'E' ZIP: �� <br /> STATE LICENSE: # � EXPIRATION DATE: 1� d' <br /> ARCHITECT/ENGINEER,� `� PHONE:�^jL� -r'�- �� "�3�1�i <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 permits! <br /> PROPOSED WORK(describe in detai�: ��'C� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(exctuding land): $ �'�/�, n�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 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 without a permit;and that the work will be <br /> in accordance with the approved pla <br /> APPLICANT'S SIGNATURE: DATE: � 1 �I�� <br /> 31 <br />