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y , <br /> Total Fee: $ • � Date Received: µl �,Z?j � �� <br /> En.tered By: Permit#: 0��- a��� <br /> .�}/a.��7� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> I p All information must be submitted in full before plan review will be started. <br /> � � ' (please print all information) <br /> THE APPLICANT IS: (circle one) E R CONTRACTOR <br /> JOB SITE ADDRESS: o��D SS tJ�x-ca �I ZIp; �J S 3 3 � . <br /> Will this be�de of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special 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 demonsfrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 1i�1 f J(:Q,,L(� ��itU��1 PHONE: (home) I�a–���'7�� <br /> n, � (work) (q� �o –S(�a--.5� <br /> MAILING ADDRESS:�e SS� �� � CITY: �!ov ZIP: _s��� '� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: 1 YVl MOBILE/PAGER: (� �a..–lQ b 9 ^'S b�a=- <br /> MAILING ADDRESS: CITY: ZIP: <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 require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: S (�n/ � <br /> /��� nrr.,,�.l, <br /> .—,�-- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ,(j(�� c� <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 ap.proved plan. <br /> . <br /> APPLICANT'S SIGNATU DATE: �"'3)�� <br /> 31 <br />