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Total Fee: $ J'r .� Date Received: �}- � • 7(X� o <br /> Entered By: Permit#: /D 2�� <br /> � ,� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � 0 <br /> p 1 �\ All information must be submitted in full before plan review will be started. <br /> � lease rin t a[l in orma tion) <br /> (P P .l <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �� m�1 P� ����t` l��'`�� ZIP: 4� � <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 required with Police Department and City CounciJ approval <br /> 60 days prior to the event. Shuttle bus service will be reguired trnless applacant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> �?1- 63 S'7 <br /> NAME OF OWNER: ��� �a'�`���5 PHONE: (home)�� �3�7 <br /> (work)G^ ���333 <br /> MAILING ADDRESS: �� �'��G °2l' ��'� CITY: G�2e.s�� ZIP: _��/ <br /> CONTRACTOR: ��'�'y5 �' �'��'"�'� PHONE: ��L - 2-�R ���l� <br /> CONTACT PERSON���a�/' S�"r��' MOBILE/PAGER: 9�SL 2c�� y/� <br /> MAILING ADDRESS: �v�� J�'' �9� �r�T CITY: Sy�t►'a�c.� ZIP: ��/ <br /> STATE LICENSE: # 2v�-f,y i3�� 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 RemodeVAlteration (ie: Siding, Windows) aG <br /> Any earth movement may require MCWD review and permits! <br /> PROPO5ED WORK(describe in detain: �1L�'�'►o/��2- I�� i Z1/�� <br /> —/5!L'n/ C,�a3 S� t�t au2., <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�'� y0. �,c..t7 <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: DATE: � �!� <br /> 3t <br />