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� <br /> I�� <br /> �I�� � q CP `? S /� <br /> Total Fee: $ � Date Received: 4� `� O 8� <br /> Entered By: Permit#: <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 O CONTRACTOR <br /> JOB SITE ADDRESS: �S'' i I D y �.1� ZIp: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No 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 /> su,�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: To w, M�e ha� PHONE: (home) �,S�rZ - y 75- a�d� <br /> �V�i (work)Ga/a- ��D"9�'8'� <br /> MAILING ADDRESS: �1��,� �,i ��w �K�et.� (.'iTY: Q rl7ri-27' ZIP: <br /> CONTRACTOR: L�9 r�y O�5 a�G u s�o►.� {�0►�e-s PHONE: 2�3',�0?� o��b� <br /> CONTACT PERSON: �q r Mt MOBILE/PAGER: 7�,�-�,z{ -2?�168 <br /> MAILING ADDRESS: ��o p e�,.�el La�p ►� CITY: �l v�o�,, ZIP: S yy <br /> STATE LICENSE: # K�d5 �O 2?`f EXPIRATION DATE: y- ;�.Q'p q <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �1� <br /> Move Home . Remodel/Alteration (ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: 5+or�� �i�r�e�ocP <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J�, jJpd °a <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: lo—�o -Q �' <br /> 31 <br />