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� � <br /> Total Fee: $ �°Jr. ��� DateReceived: �� ��/� <br /> Entered By: Permit#• apYJ�'— oU,.3o�— <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3�� �-t-�� S� ZIP: �'�3'S� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q'�10 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 /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF O WNER: �t v � C� �J�'l v.�t�C 1�� PHONE: (home) �o�Z--� —�3�� <br /> (work) �e Z �`t c - 3 SQ 1 <br /> MAILINGADDRESS:3�U ��.�� S�, CITY• � c��� ZIP• ��35� <br /> CONTRACTOR: S�-� PHONEc <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <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 �nd permits! <br /> PROPOSED WORK(describe in detain: �1 E C1 2 0��- S�:�c� F,S Zt.�.�.�aC� <br /> _St�'<���5 , <br /> STORIES: �.— SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Z- GARAGE STALLS: ATTACHED DETACHED �C <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 i��� .�b <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: �-�°^'"`�" v"` DATE: ��I t 5 Z�� <br /> 31 <br />