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� <br /> -y,,�, -F,� � C���:� <br /> � <br /> f l�� ^0,6 <br /> Total Fee: $ l b!�.�0(� Date Received: /�1 /�" ('lD <br /> Entered By: � � Permit#: ,�4/D�f y y <br /> y <br /> CITY OF ORONO - � PE IT APPLICATION <br /> /�f,, <br /> All information must be submitted in full befo►•e plan revie�v will be started. <br /> (please print al,l i�iformatioir) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR �1) OL� <br /> .... - `� <br /> JOB SIT�ADDRESS: �., . : , "�: ZIP: ---��"'�"— <br /> Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes � lv0 If yes, a specia/event peri�:il is reguired tivitl�Police Depnrtment and City Cotrnci!approvaT <br /> 60 days prior to the evej�t. Shuttle bus service rvil!be required�.inless applica��t deri�or�strntes <br /> szrfficie�7t on-site parhing is availnble. No»-per•nritted events�vi/!not be allotived. <br /> NAME OF OWNER: � �n'� t��=�` ' '` PHONE: (home) <br /> (�vorlc) <br /> MAILING ADDI2ES5: �� �� � i ��.-�t��;r ��� �,� �.�� CITY: � ZIP: - � � <br /> CONTRACTOR: - ' �-I��,e t� . '. PHONE: ,: ,,:_ ... ,, ,. <br /> COl�'TACTP�RSON: � ; li N�... MOBILE/PAGER t; �;.�_ �,� _�' 1 fy 7�: <br /> MAILING ADDRESS: ,� ."> l, . � - CITY: ;� ; _ � �,; ZIP: <,. <br /> STATE LICENSE: # �YPIRATION 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: Sidicig, Windo�vs) <br /> Any earth movement may require MCWD review and per;nits ! <br /> PROPOSED �VORK(descr�ibe iiz d�tain: ; , - �,., 4 < <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOI�i�: GAi2AGE �TALI�S: A�'TAC#i�D D'ETACI�E'�'_ <br /> / , l� <br /> ESTIl�1ATED CONSTRUCTION VALUATION(excluding land): � ' �V O' `� <br /> I hereby apply for a building permit and I ackno�vledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the City and �vith the State Building <br /> Code; that 1 understand this is not a permit and��ork is not to start without a permit; and that the�vork will be , <br /> in accordance �vith the approved plan. <br /> APPLICANT'S SIGNATUI2E: ����� ��A'T�: � � -� � — �� �� <br /> ,��L L'_ ��✓�,✓��' L, �i � F( L A� <br /> >> <br />