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��, i G `E—�� t s s.�.�{ ���...� <br /> �/�� �U��VS <br /> � � j� C-CI��Q C f"D/-'� <br /> Total�'ee: $ ��,v Date Received: �—l� —�� <br /> Entered By: �Q�� Permit#: � /OQ <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 ONTRACTOR <br /> JOB SITE ADDRESS: /o�p ���q �;�� � ZIp; SS � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a specia!event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle ba�s service will be regz�ired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNTR: ��',,,�� �1�1.0.,�;�o PHONE: (home) �- 9��- g(�41cj <br /> (work) <br /> MAILING ADDRESS: S7 0� �p U; �l� 1�r, CITY: ��:n q ZIP: S S � <br /> CONTRACTOR: _�n ; �� �.-�r��4i(�_l�L� PHONE:9�3-�S7-63 S/j <br /> CONTACT PERSON: � /sb� MOBILE/PAGER: <br /> MAILING ADDRESS: �.��o L�/ r� � � . CITY: ��='�� � ZIP• S37.Z <br /> STATE LICENSE: #�C �aS�/21 �/� EXPIRATION DATE: D� � <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 ma require MCWD review and permits! <br /> PRO OSED WORK(describe ip detain: <br /> � .� ^ J / � C{f <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�5� G�'�: "n <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 perrnit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: a <br /> 31 <br />