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Total Fee: $ ���' Z s Date Received: /-`3 D D 7 <br /> Entered By: _T� Permit#: �}/D9�� <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 info��mcrtiorz) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> f p <br /> JOB SITE ADDRESS: i L' Z� � ''i a e'` ��'� �--- ZIP: � �� � �� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �10 /fl�es, a special event permit is r•eqr�ired with Police Depar•Unent and City Cotmcil approval <br /> 60 days pr•ioi�•to the event. Sha�tlle bus servrce�vill be r•eguir•ect ainless applicant denzonstr•ates <br /> su�ciei�t on-site parkrng is available. Non-pe��n�itted events will not be allowed. <br /> NAME OF OWNER: T�m �-��o:�� �r l f�'1 eC, PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: � �Z� ��n�E^ �-�^�ITY: ��0�(1 C) ZIP: ..5�,�'3�y <br /> , <br /> CONTRACTOR: �C' SG.� U���`� ����s , PHONE: I Z �2� � Z l(( <br /> CONTACT PERSON: G� � MQBILE/P�GER: <br /> MAILING ADDRESS: 2 `-�3 ��/ef e Lu�,,c �CITY: fU�!� ZIP: �3(� <br /> STATE LICENSE: # Z n/ .31 �ZO 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 and permits ! <br /> PROPOSED�ORI�(desa•ibe i�t detain: Q�pC��.� �-�c:-k <br /> c 5�ccf �i- S�-.�:•�;f e C��,r�.-�sz R�o�' <br /> STORIES: SQ.FEET OF EACH FLOQR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ g��• � � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the.ordinances and codes of the City and with the State Building <br /> Code;that[ understand this is not a permit and work is not to start �ithout a permit;and�tllat the work will be <br /> in accordance with the approved pl� . • <br /> �_ �o�-- U .� <br /> APPLICANT'S SIGNATUR : L' TE: <br /> �°�'/r'°`'-e� ,�'3� -o� <br />