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s-f <br /> t <br /> Total Fee: $ Date Received: <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 /> THE APPLICANT IS: (circle one) OWNER O TRA <br /> JOB SITE ADDRESS: �a LA�c�n�asr k �r" ZIP. <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �-No If yes, a specia!event permit is reguired with Police Department and City Courrcil approval <br /> 60 days prior to the event. Shuttle bus service wdl!be required unless applicant demorrstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ���v � lr� Fv�l(,�,,.}�,,� PHONE: (horne) <br /> (work) <br /> MAILING ADDRESS: �'� L��.r.rw�c a. CITY: O2 AN J ZIP: <br /> CONTRACTOR: Pl.t_�,h+� Co�C'���+�'�� PHONE:�.3��35'' L2Zf� <br /> CONTACT PERSON: �e LCon. MOBILE/PAGER: 'G/2 -�G v' G 3�1• <br /> MAILING ADDRESS: y/ ? '' � I�"� "1 CITY: �'��cLt� P�IP: 5 t'r/2 y' <br /> STATE LICENSE: # 3 a y 7 EXPIRATION DATE: 3 � n � <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 /> PROPOSED WORK(describe in detain: T4+� - �f� r �—2�af <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION�exCludi�ig land): $ '�St �yv ��� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete a}�d.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 rt without a permit;and that the work will be <br /> in accordance with the approved . <br /> APPLICANT'S SI ATURE• �""'''�� DATE: �G�r�y U` <br /> 3t <br />