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Total Fee: $ 9S 63 llate Received:// �' <br /> Entered By: Permit#: �D 0 8`� / <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: (circ[e one�� OWNER'�OR CONTRACTOR <br /> �.. <br /> JOB SITE ADDRESS: ZIP: J�� <br /> `' �D �o� C�`ti ��v�- 5� ' <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 bQ�`��� <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant de ons at s _ <br /> su�cient on-site parking is available. Non-permitted events will not be allowed����j�� <br /> cI� `� ,� i-r ��.,�r � � 3 <br /> NAME OF OWNER ; �I^n 4 �C,P�t e (�vC�SG�'lU'`I�PHONE: (home) ��� �2�S� <br /> � I.l�U�� �woZIPq S Z S�� f�(�S Z � <br /> MAILING ADDRESS: �'����- CITY: <����,� <br /> CONTRACTOR: ���` C�°�� S l�"`�'"' PHONE: �����3 Z �`j � <br /> CONTACT PERSON: S��- MOBILE/PAGER: � Z <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # j �7� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: /1�v Yl� 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 /> PROPOSE WORK(describe in detain: ( ?C c�c.� -f-o a�Cv�"1�°c�°� �- ``v � <br /> ��-�, S t�lz .� h w « w � � c� Ca�.�(1�S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� � � �� <br /> � <br /> I hereby apply for a building permit and I a owledge that the information above is complete and accurate; <br /> that the work will be in conformance witH e ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a d work is not to start without a permit;and that the work will be <br /> in accardance with the approved p n. <br /> APPLICANT'S SIGNATURE: DATE: I v �- <br /> 31 <br />