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� ., <br /> Total Fee: $ �.3 5• � d Date Received: � (� <br /> Entered By: Permit#: OU �1�0/> <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> U�lease p��int ull infornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRAC OT R� <br /> _ __--__�_J_.___-__- <br /> .IOB SITE ADDR�SS: ��r' `-e�.t'--� ���:� ZIP: ���� �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��TO If��,es. ��.rpecial erent�ermi�i,r reyaired inilh Police Department and C"ily Cuuncil approi�nl <br /> <0 clays prior xo the ei�en7. S'hi�tNe brrs serrrce u�il/be reguirec!un/e.ss up��/icant cleinonsii�ales <br /> suJticient on-szle parking is cn�ciilable. �Vort-permitted ei�ents i��il!not be alloived <br /> NAME OF OWNER: ��D/�'I q �- � Q t° PHONE: (home) ��-y lo'�I � <br /> (worl<) /� '7���5� <br /> MAILING ADDRESS: ��� �•{q��. � CITY: ���piJ(� ZIP: _5;z� ' <br /> CONTRACTOR: '"��yrl�G� NC ��i PHONE: ��r�-7a�-7�a9 <br /> CONTACT PERSON: �_ OBILE/PAGER: <br /> MAILING AllDRESS:;�3 / � �S`f� �f� C[TY:�i����>/,JZIP: ��/G'� <br /> STATE LICENSE: # /js-�� EXPIRATION DATE: .3/ � <br /> Al2CHITECT/ENGINEER: PHONE: <br /> MAILING AllDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accesso►y Str��cture <br /> Move Hoir�e Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permitsi <br /> PROPOSED WORK(describe in detai�:�f�y� /����'y�� ���p ���,/� <br /> ��/G'���c -� C �GZ �� c3-S <br /> . , <br /> STORIE : SQ.FEET OF�ACH FLOOR: <br /> NO. OF BCDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMAT�D CONSTRUCTION VALUATION(excluding land): $ � �S�fJ(� <br /> I hereby apply for a building permit and I acknowledge that the infoi•mation above is complete anci accurate; <br /> that the worl<will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I undecstand this is not a permit and work is not to start without a permit;and that the work wi I I be <br /> in accordance �vith the approved plan. <br /> ,� <br /> APPLICANT'S SIGNATURE: 9Qi7� DATE: �li <br /> 3� <br />