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� �'�9 � <br /> � <br /> Total Fee: $ �02l• � � Date Received: �/��-/O$� <br /> Entered By: Permit#: -- oZ-� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print alt information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOBSITEADDRESS: ��p �� �VrJ'C 15`�i ZIP: �S�`�, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �lvo If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service ku.ill be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> � <br /> NAME OF OWNER� �v�y �ly�OhSDJ� PHONE: (home)1'�S� Y�( 33!$ <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:/�'lidit,�s� �a,�'�i,s �- S,d�h� PHONE: �'os y��-�696 <br /> CONTACT PERSON:�`.00� Bu��i�k' MOBILE/PAGER: <br /> MAILING ADDRESS: ;j13 ,7'�t��r-s�+-� l�uv CITY: e.Lj�ss.. �' ZIP:.�s3 6 <br /> STATE LICENSE: #_�o��B��� EXPIRATION DAT : � <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) x` <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: O v` �,�ro Gieusr�q�e e ��Os <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED COI�TSTRUCTION VALUATION(excluding land): $ y, f�S� <br /> I hereby apply far a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confarmance 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 permit;and that the work will be <br /> in accardance with the approved plan. <br /> � �/� q <br /> APPLICANT'S SIGNATURE: G%Z'( DATE: ( v�� Dg <br /> 31 <br />