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. ��� i���� <br /> Total Fee:�r $. � � I• �7 ) � (_ �I� �� <br /> Date Received: �� c � <br /> Entered By: Permit#: D ��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prin2 all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one)( OWNER R CONTRACTOR <br /> �-- <br /> JOB SITE ADDRESS: 3�=v S �-�e,"c, /�v� L�?,�v z��� ZIP: 5 S �S 1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �o 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 will be requi��ed unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ({����� �o�s � •� S PHONE: (home) 9S z -�7� -�z �� <br /> (work) s�M` <br /> MAILINGADDRESS: 3hc�' S L,a�,�, /j�� CITY: Cc,'��yza-n. ZIP: s�3� � <br /> -� <br /> CONTRACTOR: �:x,� r�t�,�,;,"� PHONE: �iz �rt3 �..�yy <br /> CONTACT PERSON: �� � � MOBILE/PAGER �� �< <� <br /> MAILING ADDRESS: 367 S �,�� ,� ,��` CITY: w�, ,.z,�;„ ZIP: �s �� <br /> STATE LICENSE: # EXPIRATION DATE: <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 detai�: ��,c,�c ��{��-� c.�:�, �;. �1 x ►1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the infarmation 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 wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: l � S DATE: i/`z�-�'� <br /> 31 <br />