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� . ���� �� ���� <br /> � � ` �l�ces po9��l <br /> �Je � C`an-���; <br /> l�'�� Total Fee: $ �Q�L(� U���Received: 3 ��� �d 7 (� <br /> Entered By: Permit#: �j <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: JO (�(5 �,aJ-yI� �;"� �•�p ZIP: SS�Cp�,/� <br /> Will this be a Parade of Homes,Remodeters 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 wi!!be required unless applicant demorrstrates <br /> . sufficient on-site parking is available. �Von-permitted events widl r►ot be allowed. <br /> NAME OF OWNER: � ; ��, �,n J�,,y PHONE: (home)Q�a--�/'3�- Q��9 <br /> (work) <br /> MAILING ADDRESS: S�� ,� ,,;1� �- CITY: � :Y ZIP: S S�3 <br /> CONTRACTOR: �n:���an�.,. ' < �nr�� PHONE: ��`.22 G- �09 gb <br /> CONTACT PERSON: - p� .,,_. MOBILE/PAGER:r�53 � S 7- ��s/> <br /> MAILING ADDRESS: �e/U r. CITY:�r•'o- ZIP•���.Z <br /> STATE LICENSE: #/�C o?vs g�/ 3� EXPIRATION DATE: o g� <br /> ARCHITECT/ENGINEER: 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 /> PROPOSED WORK(describe in detain: `�,���.n� �o� �o�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /�1 �oQ'. � <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 pennit 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:i����— 6��� DATE: f v <br /> 31 <br />