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� <br /> , . <br /> Total Fee: $ Date Received:�� (� <br /> Entered By: Permit#: ()0 � <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 R CONTRACTOR <br /> JOB SITE ADDRESS: �!C 8� L.-u,�r�, /�uE ZIP: 5 S3 S' � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �� 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 required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ���' l��6 c Ivs �K��E A r�2�u S PHONE: (home)�i 5 Z �/ 71-�Z.� 8 <br /> (work) a AME <br /> MAILING ADDRESS: 36�� L�,t�,� ,4 c�� CITY: W�1.Y Z a;� ZIP: S S 3�I - <br /> CONTRACTOR: b vc��,- hI�F.z,t�� PHONE: Cc�!2 71 t� S y�/� <br /> CONTACT PERSON: �� MOBILE/PAGER: � � �� <br /> MAILING ADDRESS: 3(�l S l��!z.�c:�v�. CITY: (�A l��A f A ZIP: $S 3�t <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) L�--- <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSEDWORK(describeindetai�: r1E,c,a w,,,�a�,�,;c � ;����,�5 � ,.tEw <br /> S, ta e..�tr <br /> STORIES: Z. SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATTACHED 1'�S DETACHED_ <br /> z <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ s t„�,�c,. �f o�ov W��J�UW� g1 oc� <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 /> APPLICANT'S SIGNATURE: �' 1� DATE: !- Z 9-v 9 <br /> 31 <br />