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l�►'1'I �a - 3- a� <br /> Total Fee: $ �� �� �� Date Received: ����` �?�' <br /> Entered By: �� Permit#: ;�-��� 2j <br /> �J-�r <br /> CITY OF ORONO - SUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (pletrse print all ijzfo�•fnatio�z) <br /> ---------------------------------------------------------------------------------------------------------------•--------- <br /> TH� APPLICANT IS: (circle o�ie) OWNE12 OR CONTR.ACTOR <br /> � JOB SITE ADDRESS: �S ��'T��'1�1� �-��- ZIP: <br /> Witl this be�arade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes NO lf yes, a specin!event permil is reguired rnith Police Depnrtment and Cily Council npprovnl <br /> GO days prior to the eve��1. Shuttle bus seri�ice rvill be required wiless npplicant demonst�•ates <br /> sarffrcier�t on-site parking is availnble. t��on-pern�itted evenls ivill not be allowed. <br /> NAME OF O�VNER: PHONE: (home) <br /> (�vorl<) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��l ,J�� i C��'���`�v���%'ti PHONE: 9Sa—`�s��7s3 -_ <br /> CONTACT P�RSON: 5��� MOBILE/PAGER: `f S�� `3'�i�'o�y'S� <br /> MAILING ADDRESS: ���j� C'�X� QJ 1�'� CITY: ���fl ZIP: �� <br /> STATE LICENSE: # � �KI'IRATION DATE: <br /> ���5���� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRA.TION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel/Alteration (ie: Siding, Wi�ldows) <br /> Any earth movement may require MCW'D review and per;nits ! <br /> PROPOSED WORK(describe in detai�: (1c—�DIG,(-� C'��C�. ���C'3't 1�k <br /> w o'�i � <br /> e, <br /> STORIES: SQ.FE�'I'OF EACH FLOOR: <br /> NO. O�'BEDI2001ViS: GARAGE �TALLS: ATTAC�-I�I3 DETAC�ED_ <br /> ESTIl1ATED CONSTRUCTIOI�'VALUATION(excluding land): � � S�_'� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the woi•k will be in conformance with the ordinances and codes of the City and �vith the State Building <br /> Code;that 1 undzrstand this is not a permit and work is not to start without a permit;and that the�vork will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATUI2E: DATE: � � � <br /> �� <br />