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C�D� <br /> � <br /> �.� <br /> Total Fee: $ 39 . ��a Date Received: 8- a�`U� <br /> Entered By: Permit#: �/l3(n � <br /> CITY O� ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: ��� I K-�,��{ ;�J � ` ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ❑ NO lf yes,a special everrt pennit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. S/auttle bus service will be required unless applicant demonstrates <br /> sufficient on-site par ing is available. Non pern:itted everrts will not be allowed. <br /> . � �� <br /> NAME OF OWNER: �I' �� � - PHONE: (home) v�`��7�� /-�� <br /> . (work) �/ - �� -J�'��i� <br /> MAILING ADDRESS: I � CITY: � 5��ZIP: S 3 <br /> CONTRACTOR: �Q,�'� �j f . PHONE: �j'��- �`��(� <br /> � <br /> CONTACT PERSON: ^� MOBILE/PAGER: <br /> MAILING ADDRESS: � ` � CITY: � ' ,,; ZIP: � <br /> STATE LICENSE: # � - #, EXPIRATION DATE. '� �-� (7 <br /> ARCffiTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> , <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAl eration(i.e.: Siding,Windows) <br /> *�flny eur^th �uni�enrE:rit rliul�recyztire MCWD Rei�re�a- crrtd Pernut' <br /> PROPOSED WORK(describe in detai�:� �-� / � <br /> . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 '� t� <<�� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and aecurate; <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 plan. <br /> APPLICANT'S SIGNATURE: DATE: I�r1 O <br /> 31 <br />