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Total Fee: $ 8� " 7 � Date Received: ��Z�U�`� <br /> Entered By: �`;}y� i-Z%� �,r�� 5����, Permit#: C� ��"3-� <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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: f (�� ( L�'��E'�- � i � �� ZIP: � � 3 � `t <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No !f yes, a specia!event pern7it is reqz�ired ivith Police Depa�•tment and Ciry Coarncil approval <br /> 60 days prior to the event. Slzarttle bus service will be i•eguired unless applicant demonstrates <br /> sc ffrcient on-site parlcing is avnilable. Non-perr�aitted events�vi(l not be allotived. <br /> NAME OF OWNER:�,��ni�,� JD!���5�dl PHONE: (home) �/Sro? ��( 7.2 � �sl�� <br /> (wock) <br /> MAILING ADDRESS: j0�� �vi-�,c ti �—�►J c�<< CITY: �L� c u r�c� ZIP: 5� �, y� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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 Hon�e Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may requize MCWD review and permits ! <br /> PROPOSED WORK(clescribe in detain: �.� p lc�c,r � 7 L �C w , t(,� <br /> � �-,�r� I 1� r �.c� < <br /> STORIES: l. SQ.FEET OF EACH FLOOR: 1�� o <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding lancl): � �j'c% 7. L � <br /> I hereby apply for a buildinQ 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[ understand this is not a permit and work is not to start without a permit;and that tlle work will be <br /> in accordance with the approved pla <br /> APPLICANT'S SIGNATURE: wt ��'l�-�-v�r� DATE: W��y Z — � � <br /> 3t <br />