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Total Fee: � <br /> �C� ��� Date Received: �`' u ���� <br /> Entered By: Permit#: `� / I -7 /�"C,- <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 O CONTRACTOR <br /> C� <br /> JOB SITE ADDRESS: � �) I r� '�"� �"��� 1 �� �� ZIP: S � � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a specia!event per�rnit is required wrth Police Department and City Cozrncil approval <br /> 60 days pr�ior to tlle event. Slzz4ttle bus service�vil1 be r•ega�ired ainless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events ivill not be allowed <br /> NAME OF OWNER:� 1�l�� ���-S ��� PHONE: (home) �S Z ��! 7� ' �'LZ% <br /> (wock) �I 2- 3 3 6 -i 3a�1 <br /> MAILING ADDRESS: S �'^�� CITY: ZIP: <br /> CONTRACTOR:��S �a������� ��-�-��-��1 i ti �-- PHONE:�i 1 - ��'E - �l�t L �- <br /> CONTACT PERSON: t ��Jc.- Cr����,�.� �f��- MOBILE/PAGER: <br /> MAILING ADDRESS: ��� 'b�L���j ' � CITY: ILci c✓'��c= ZIP: ,S�/�3 <br /> STATE LICENSE: # �Zv� 3 3 F����( EXPIRATION DATE: �/ 2r � �-c v � <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/Altecation (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detcai�: i '7 X��- �"1f����� ��t,�"��-- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �/ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��� ,rvZ ` <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 oi•dinances and codes of the City and with the State Building <br /> Code;that[ understand this is not a permit and wock is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � L�, S1 -� � - v , <br /> APPLICANT'SSIGNATURE: ���-.� DATE: C� <br /> 31 <br />