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. � <br /> ,. •, " <br /> Total Fee: $ a�� • °Z� DateReceived: �"3�D 7 <br /> Entered By: Permit#: /OgSFS' <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 012�C N'0 TRACTO� <br /> JOB SITE ADDRESS: � �j D �O�rl 0(� C�f C IP_ ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event perrrzit is required with Police Deparlment and City Council approval . <br /> 60 days prior to the event. Shuttle bus service will be reguired unless appldcant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR �il� � 1�W���2 �-��— PHONE:76�-a3�1��� <br /> CONTACT PERSON: 'I'-� u a��n MOBILE/PAGER: � �S'- ��8� <br /> MAILING ADDRESS: 7 � r� F. CITY: a(' No ZIP: .�533 � <br /> STATE LICENSE: # EXPIRATION DATE: �—"� !`O S� <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) b�, <br /> Any earth movement may requ re MCWD review and permits! <br /> PROPOSED WORK(describe in detain:���P w S i��n�. . 5n���-� 4�'�S�i� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �v�DO <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 tt�is 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: DATE: �-��D 7 <br /> 31 <br />