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Total Fee: $ �- 't� �� Date Received: �,y" � � �� <br /> Entered By: ��t> Permit#: �}I I ]ZZ <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 inforination) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- �— <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � �tyV ��V� J"�1 I(Y� �`�. ZIP: � � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S � NO If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: I_�( ��(,(� �S PHONE� Iome�Z���2'' <br /> � (work) <br /> MAILING ADDRESS: '.l�� QV,d Y1(l ��CITY: ZIP• <br /> CONTRACTOR: I O ((NS PHONE��J'`t'l�' <br /> CONTACT PERSON: MOBILE/PAGE • Z– <br /> MAILING ADDRESS: ,�_CITY: ZIP: C��� <br /> STATE LICENSE: # 2Q — EXPIRATION D TE: �31n� <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 requ e MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: ��Q�f(,�,Q� 1,()L�j�QQ� ' ,j� �T,�b�-� <br /> STORIES: I SQ.FEET OF EACH FLOOR: �� b <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHEDN DETACHE <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 Q,vdQ+�O <br /> � <br /> I hereby apply for abuilding 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: "� /I3f D <br /> 31 <br />