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Total Fee: � Date Received:--��t-``-� <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 /> (ptease print al!information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �7a L�}I� �[�� ��., Zip: S.�3�� <br /> Will this be P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No lfyes, a special event permit is required with Police Department and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service tivill be reqz�ired unless applicant demonsirates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �e�l�� T�^'�S� PHONE: (home)9SZ-y73-���- <br /> � (� (work)952-97„�=�9'y�' <br /> MAILING ADDRESS: Z�� (.r.{�-�t Dr�l�.,.� CITY: �ro� ZIP: SS39! <br /> W <br /> CONTRACTOR: I��S����� 1�crG.�i.�i�. PHONE:�pSI-�� �g'`�'Z <br /> CONTACT PERSON: � ., � MOBILE/PAGER: Z� 73b- yy <br /> MAILING ADDRESS: O , CITY:�q� � ZIP:SSo�" <br /> STATE LICENSE: # N EXPIRATION DATE: /v//� <br /> —� <br /> ARCHITECT/ENGINEER: Ou / PHONE: 9•SZ-�I�-(OS'99 <br /> MAILING DRESS: �.bo CITY: $�(.e,; � ZIP: � Ztp <br /> NAME: __'�-�..5 �� REGISTRATION: # �.�- <br /> TYPE OF WORK: New Home Addition Accessory Structure ✓ <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement ma require MCWD review and pe its! <br /> PROPOSED WORK(describe in detain: �5��� ��ef'q� Sw;�ina,�ca� <br /> STORIES: � SQ.FEET OF EACH FLOOR: C� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED C� DETACHEDo <br /> ESTIMATED CONSTRUCTION VALUATION(exciuding land): $�J��U <br /> I hereby apply for a building permit and I ac[cnowledge 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: � O�J <br /> 31 <br />