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� . <br /> Total Fee: $ �O�-/. � � 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 informatiort) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: J�SD G-Vr�'C �I/� ZIP: �S�`�, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �NO If yes, a special event permit is requi�ed with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service luill be required unless applicant demonstrates <br /> sufficient on-site pa��king is available. Norr permitted events will not be allowed. <br /> NAME OF OWNER: �� To/-ep(0 PHONE: (home)��eZ `�IZO �6S`� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:/�'li��s� �c,o1�'jh` d- S,dih� PHONE: �3 y�-�-�696 <br /> CONTACT PERSON:,�`.eo� Bud ziak' MOBILE/PAGER: <br /> MAILING ADDRESS: ,3/3 .7'r r��rrs d+-� fi��Y CITY: eG-j4-s�.. �-�' ZIP:.SS3 6 <br /> STATE LICENSE: # �ov�B�'�3 � EXPIRATION DATE: 3�3/�vq <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 ct ��,�oa Gjeu.s Qq,.a�e ��Oss <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y� ��5� <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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> , c� <br /> APPLICANT'S SIGNATURE: �����. DATE: l v�s? Q 8 <br /> 31 <br />