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, y (��C7 <br /> ����,p� <br /> Total Fee: $ J'��d.f�,( Date Received• 9-��'D 7 <br /> Entered By: Permit#: �L <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 informatioh) <br /> THE APPLICANT IS: (circle e) �OWNER R CONTRACTOR <br /> JOB SITE ADDRESS:�/ � /[�r��la,-� ��, z�: 5S 3� � <br /> Will this be a P ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No Ifyes, a special event permtt is reguired wdth Police Departrrrent and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demorrstrates <br /> suffacient on-site parking is available. Non permitted events will not be allowed <br /> i <br /> NAME OF OWNER�� `�'� � HONE: (home) � 7 ��� <br /> MAILING ADDRESS: /l���7 � . CITY: y �wor�� �� <br /> ��� � � <br /> CONTRACTOR: � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CTTy; �p; <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �, <br /> Move Home RemodeUAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: � � ���� �- i� <br /> ' r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $� � <br /> I hereby apply for a building permit and I acknowledge that the infortnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the Sta.te 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; Q� <br /> 31 <br />