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. � ' <br /> Total Fee: $ Date Received: <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 /> -- l'_._ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: �,��() ��'lS�!//� �12� �� ZIP: <br /> Will this be a Par e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes O If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �Vr i"l S Jv � s PHONE: (home / -��/S-Y�s� <br /> (work) <br /> MAILING ADDRESS:�.�b ���`PV��� C�2��� CITY: �/uJ!'1 a ZIP: <br /> CONTRACTOR: /���5�"/arL ���St 2r,c��»/1 PHONE��(Q 5-�/7�`/-�S 7 0 0 <br /> CONTACT PERSON: ,/�o„� /L�y n.e.�-f�,�, M O B I L E/P A G E R: <br /> MAILING ADDRESS:S/4�S S 4wL2�p! Sf 5'�'� kZ3 CITY: b le lai n ZIP: ,S53S`? <br /> STATE LICENSE: # 3 zy? EXPIRATIO DATE: 3 0 8 <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 re ire MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��.o,� v-F�� /j,00� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ✓ DETACHED <br /> �b <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,�, ,��,s, <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wilt 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 vyithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �Q�-� � —O 7 <br /> 31 <br />