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� � t <br /> Total Fee: $�� Date Received: � 2 Z D <br /> Entered By: Permit#: � <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 /> -- ,., <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> -a�. _ ZIP: ... <br /> . __._...,._._ <br /> JOB SITE ADDRESS: ,Q b s �4 v� �M � ��'�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O Ifyes, 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 reguired unless applicant 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:S �?O�r�2�S i� Se.qv.A�2SS��Q�,�PI/� PHONE: �012. a�'� .��Oq <br /> CONTACT PERSON A��. MOBILE/PAGER: 5.���2 <br /> MAILINGADDRESS: 1'll''�'1 `1b-''`� �t 1 CITY: �°����o�e�ZIP: ss�t1 <br /> STATE LICENSE: # a0�181 Qy� EXPIRATION DATE: �a-L-c� '�s1 , d� <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 /> PROPOSEDWORK(describeindetain: -�4�.� o�� 01� ,�t+���\ ►��.�J 52�,�� <br /> �Q.Q.` ���Q <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 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 w is not to start without a permit;and that the work will be <br /> in accordance with the approved pl � <br /> ` <br /> APPLICANT'S SIGNATURE: 'L DATE: fl� •2�L, �� <br /> 31 <br />