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-z77 ` <br /> Total Fee: $ �Dc r Date Received: J� /(o f G- <br /> Entered By: Permit#: 6::1 JQn$ <br /> 1W <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS:��-�/;G �//` C�.2�� a ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes XNo If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bits service will be required unless applicant demonstrates <br /> su�cient on-site arking is avai able. Non permitted events will not be allowed. <br /> NAMEOF OWNER: PHONE: (home)X7- <br /> (work)ysa- <br /> MAILING ADDRESS:'5yRP°/.,' CITY:// -,-;7-Y ZIP: S S3�y <br /> CONTRACTOR: �� -� PHONE: <br /> CONTACT PERSON`-.'-L MOBILE/PAGER: <br /> MAILING ADDRESS: - CITY: ZIP: <br /> STATE LICENSE: # -DOW IrcO EXPIRATION DATE: <br /> t <br /> ARCHITECT/ENGINEER: 0� PHON �7- F49 ' gz- <br /> MAILING ADDRESS: CITY: ZIP: s-sNz <br /> NAME: REGISTRAT ON: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �- <br /> Any earth movement, mayr i MCWD review and p�+rmits! <br /> PROPOSED WORK(describe in detail): �� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED :0-- DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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 work is not to start without a permit;and that the work will be <br /> in accordance with the appy pan. <br /> APPLICANT'S SIGNATURE: ZDATE: /6 y o o> <br /> 31 <br />