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Total Fee: $ << �. �' Date Received: ��� � `i�u 7 <br /> Entered By: ti Permit#: F/! �'Sa <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 inforrnatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��0 7 � • S�`��� � r ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event pern�it is requir•ed tivith Police Departrnei�t and Ciry Council approva! <br /> 60 days prior to the eve�lt. Shzittle bzrs service�vill be�-egzcired irnless applicant demonstr•ates <br /> sz fficient orrsite parlung is available. Non-per•mitted events ivill not 6e allotived. <br /> NAME OF OWNER: S��J C S�n`"� �7� pHONE: (home) <br /> o (work) <br /> MAILINGADDRESS: 3 S6 � N • S�C�rc �r CITY: ��5� � ZIP: <br /> CONTRACTOR: �� �.S �1C�r�a � $ •�� PHONE: ��Z- �o�-'(`� � �2 -3 � <br /> CONTACT PERSON: .��2 0� MOBILE/PAGER: <br /> MAILING ADDRESS: II 3 a � 7a - t�L t� CITY: ,� �ia.� ZIP: SS'�3lo� <br /> STATE LICENSE: # 2�3� 7`-�S� EXPIRATION DATE: 3�j� /�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING 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(desc��ibe in cletcrin: T�'� � " o� f2•�-� �j2e ' to, r . <br /> STORIES: ( SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED -----nLTACHED <br /> �� — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � yZ� <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���ork 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:� J <br /> ;t <br />