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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print al1 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��� ���U��-�� ��f`�. ZIP: �S 3�) I <br /> Will tliis be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � YeS � NO /f.ves, a speciul erent permil is��eyurred with Police Deparin�enl und Crly C'ouncil approval <br /> 60 days prior to the even�. Shuttle bi+s service N�i!l be required unless applicant demonstrates <br /> sufficient on-si/e parking is avai/ab/e. Non-perniitted evenls ivil/no!be a/lowed. <br /> NAME OF OWNER: I i vt, �v�u�'�"C�"1� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: J� �' n�SS��� �{�t CITY: Wa��t-��. ZIP: .�,5-.�� / <br /> CONTRACTOR: %�e �D ��y yi...p,�,. PHONE: ��-Z N�j 0 �l Z�C� <br /> CONTACT PERSON: �J-e�vt n i 5 cTU G�,vt�s 6�� MOBILE/PAGER: (�� (Z- Z32 S'rb u�� <br /> MAILING ADDRESS: S�SID (�tl. ��� S�: tl z-2-D CITY: ' c7rM�, ZIP: 5,;�! � <br /> STATE LICENSE: # �tl �j D �3"�� 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�JQRK(describc in detain: T�ai-- •.t f�'t /-� - l�'06 f <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S,7 �0, � <br /> 1 hereby apply for a building permit and[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 an ork 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: � �� C� <br /> 31 <br />