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. ' � ' �.�I�� <br /> �� �� <br /> Total Fee: $ g�O�Je�Q q Date Received: (o �7'd 7 <br /> Entered By: Permit#: �//D�_3 <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��'S�{�'j LuKAli�w ��t�C��.e ZIP: �3��� <br /> Will this be a P,�arade 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 required unless applicant demonstrates <br /> su�cient on-site parking is availa6le. Non permitted events will not be allowed. <br /> NAME OF OWNER: C,�]�1i►.�, �vv�,e� PHONE: (home) � �- -G�t�f 3 <br /> (work) <br /> MAILINGADDRESS: L�6`4� Lr.�K?�i��ll�Y�CITY: (�to� ZIP: _ci 53�� <br /> CONTRACTOR: ��t�;sti�� �ac,�l�oYS PHONE: 71o�-?S�c�-aoa�� <br /> CONTACTPERSON: �,�-( u�,s,; MOBILE/PAGER: '���-�(��-��;y}� <br /> MAILING ADDRESS: 73�l k;6�.��,a �u�� N CITY: � ZIP: �c� <br /> STATE LICENSE: # '�V��o��Y EXPIRATION DATE: 3�31-v�, <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home RemodeUA teration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: tccr � ' ` 4 <br /> w� � ` � r v� <br /> STORIES: � SQ.FEET OF EACH FLOOR: � (D�Sy �� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �(o,a�7lS� <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 plan. <br /> APPLICANT'S SIGNATURE: DATE: ����� <br /> 31 <br />