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C �� � � �r z��-�h�f <br /> � <br /> Total Fee: $ Date Received: ' � � <br /> Entered By: � Permit#: ���� <br /> CITY OF ORONO - BUI ING PERMIT APPLICATION <br /> All information must be sub itted 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: 5�� �af�c. Lc�,v�. ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a speciad event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su,fficient on-site parking is available. Non permitted events wi[I not be allowed. <br /> NAME OF OWNER: �Yer�� (.�,.,�a. �' �nn�, 5������-,^ PHONE: (home) <br /> 1 (work) <br /> MAILING ADDRESS: 5�� �c�.-4.. (,r.� CITY: ��c, Lc�u- ZIP: <br /> CONTRACTOR: s��ac�c,¢,-�, �hc- PHONE: C�� Z42-0/�ly' <br /> CONTACT PERSON: � �, MOBILE/PAGER: <br /> MAILING ADDRESS: (o(D� o,�i (�li� CITY: ��,Inc j W� IP: .$T3 t <br /> STATE LICENSE: # EXPIRATION DATE: <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/Alteration(ie: Siding,Windows) <br /> Any earth movement may re ire MCWD review and permits! <br /> PROPOSED WORK(describe in detain: R2v��( c,� 01c� ��w��i.x.r s�5 c.,.d �e plGaz.. <br /> t,u��'� s��- s1ePs . f'e�csZ. �.�.w�.cl�� �.a2er loc ti �,c.,cl. San �_c«,in - <br /> ,, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,r');�OC�•OU <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 t to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: o,,,, DATE: 9-Zo -Q�- <br /> 31 <br />