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Total Fee: $ / , �� Date Received: ���a710� <br /> Entered By: Permit#: o?D�J�': 0p,3�/ <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 CONTRACTOR <br /> JOB SITE ADDRESS: l`�a a ��.�L- �/' ZIP: S��G-�� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demo►utrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: pci�� ti✓�,``G� PHONE: (home) Sr�- —ys s�-� 0 9 2 <br /> (work) <br /> MAILING ADDRESS: /��d-�- pw�- J.�/ CITY: /Ia�,�/� ZIP: �^_��3 �l <br /> CONTRACTOR: �.,, Ge� Gv�S�r_��.�,-. PIIONE: 7G 3 - �7/— 7GC3 <br /> CONTACTPERSON: +�h-��. MOBILE/PAGER: �- c'�� -735' - 7��7 <br /> MAILINGADDRESS: �i 7GC /l�, �. CITY:/'lo����_-�e ZIP: S�S� G � <br /> STATE LICENSE: # .�.o/p a 6 P'� EXPIRATION DATE: 3- 3/ - � � <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/ -t� a�'e: Siding, Windows) ���o��- <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: �e r�om� P���s � f (� w <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7i -S �a � �� <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 approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: ld' �� ��`' � <br /> 31 <br />