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Total Fee: $ /D b/. 3,6 Date Received: ��'v?��� <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 OR CONTRACTO <br /> JOB SITE ADDRESS: Z�s� c� L:�� r�l�� t,� zir: 553�1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �No lf yes, a special event permit is reguired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufftcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: I�ev�� �5�� PHONE: (home)�2' 473- OB�� <br /> (work)9S2� 975-395/8' <br /> MAILING ADDRESS: �70 L;-i�c �tc�r� CITY: �('av�p ZIP: S53 1� <br /> W�►� _ <br /> CONTRACTOR .��. e�y. 1y` PHONE: 71o3 Z$lo-2.y2�1 <br /> CONTACT PERSON: ne.�$ MOBILE/PAGER: SQ.�-�� <br /> MAILING ADDRESS: C�p S � le�p CITY:�.loH� r��ZIP: �1�.�p <br /> STATE LICENSE: # 2ps 9S0/O EXPIRATION DATE: � <br /> ARCHITECT/ENGINEER: �n� 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 m y require MCWDr�vie and permits ! <br /> PROPOSED WORK(describe in detai�: �u;�� g 2.2� X 1 y` I"eA� �+n$� <br /> STORIES: I SQ.FEET OF EACH FLOOR: � /�,p <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y,5'QUb <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 wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �Z/ �� <br /> 31 <br />