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/ <br /> Total Fee: $ '%�--5 � 5 DateReceived: `"�^�—� 6 <br /> Entered By: � - Permit#: ��� j`7,� S <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (�lease print all informntion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) O�OR CONTRACTOR <br /> JOB S1TE ADDRESS: .31� 0 �'� S l���'�- ��, ZIP: ���-j�� <br /> Lr/�4�2/ ( <br /> Will this be a Par de of Homes, Remodclers Showcase Home or other Display Home? <br /> ❑ Yes No /f yes, a specia!event permit is reqarii�ed with Police Deprn•Inaent and City Coirncrl appr•oval <br /> 60 days prior to the event. Shuttle b:�rs service�vill be required unless app/icant demonst��ates <br /> suffrcient on-sile pur•king is avnilable. Non-pernritted events lvil!no1 bc n!loived <br /> NAME OF OWNER: //��� �"/�ii/t.��- PHONE: (home) ��1 ^�° ��"-��1� <br /> (work) 1�2 - p5'�� ����Z <br /> MAILING ADDRESS: �,ll��S/I'�!�'����� CITY: G�� ���"� ZIP: S>���-' � <br /> CONTRACTOR: �j �� Gf PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGIN�ER: d� f��� PHONE: <br /> .M_?_d�Il�1�A��1_?ESS: ('T'I'V. 7IP: <br /> NAM�: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move �[ome Remodel/Altecation (ie: Siding, Windows) <br /> Any earth movement may require MCW review and permits! <br /> PROPOSED WOR (cfescribe in detain: /J?-c,�r.�'ct� ���� <br /> �L C�yfy,t�—��;�i,� �z. 1 U�a� <br /> STORICS: �— SQ.FEET OF�ACH rLOOR: �f ��� / <br /> NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHED ✓ <br /> ESTIMATED CONSTRUCTION VALUATION(excludir.;land): $ <br /> I hereby apply for a building pecmit and I acknowledge that tl�e information above is complete and accurate; <br /> that the work will be in confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that 1 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 /> APYLICANT'S SIGNATURE: DATE: � ���� � <br /> 31 <br />