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��-g. � - o <br /> Total Fee: $ � Date Received:� � ` � <br /> Entered By: j'�% Permit#: <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 ONTRA <br /> JOB SITE ADDRESS: g�� � (j � ZIP: �3 J C�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S ❑ NO If yes, a special event permit is required lvith Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: -� � � PHONE: (home) <br /> L� �L (work) <br /> MAILING ADDRESS: �_��,�t,,,P,A�.�_CITY: ZIP: �, <br /> CONTRACTOR: �� � „�-� (v�-�Y� L.-�-�V✓( PHONE: � �a �(�'S-a��3 <br /> CONTACT PERSON: MOBILE/PAGER: ajs�. � r � a�{�""� <br /> MAILING ADDRESS: �S c����Jl�J � �_CITY: ���.t,�,� ZIP: �3a� <br /> STATE LICENSE: #� -�� ���� EXPIRATION DATE: cv�. <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 require MCWD review and permits! <br /> PROPOSED WORK(desc��ibe in detain: �'X �� VJct�. ►/�-t--Fu�.l�, � (���5_-�j� �c-I� <br /> t^'�;`�1 5���✓�C�-.5� �=-Wl.�.�. ���,it�.�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ;3��� ,"� <br /> —� <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: %v � U ` <br /> 31 <br />