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� <br /> �� ����� �- <br /> Total Fee: $ `> �/(�'< <�(�' Date Received: � � <br /> Entered By: ;`�r'3'�'L. Permit#: i, � I�fi��' <br /> , � T <br /> J <br /> � y\�j�, CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> `�, ,. <br /> �'Y All information must be submitted in full before plan review will be started. <br /> (please pr•int all infor•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � ���'' C' S!'I C-�i�- ( / �iLi�C� ZIP: S�C�` <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 01�10 If yes, a special event per•mit is required�vith Police Depa�•t��:ent and City Coa�nci!appr•oval <br /> 60 days prioi•to the event. Shuttle bus service will be required unless applicar�t denionstr•ates <br /> su�cient on-site parking is available. Non-pe��rnitted events ivill not be allo�ved. <br /> NAME OF OWNER�,t/�� �` �i SS PHONE: (home)-�(�L'`I ��- ���U <br /> T (work) /'uz f, Y�cD <br /> MAILING ADDRESS: j`1(o0 ���r u ac� �c� CITY: (i ro�c; ZIP: _ ��'_ <br /> CONTRACTOR; ���� PHONE:�S7i `f T� -��7`v <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER �rv S �� ��`vu���HONE: y � Z-y�� - �>�� <br /> MAILINGADDRESS:�II�� Sr�c,-c� I � ` v� , CITY: � � r,�c�z ZIP: �� <br /> NAME: REGISTRATI : # <br /> c(e��.� �y��e <br /> TYPE OF WORK: New Home A�ition 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�: i � • � tQ �:r-� � G��t,�( <br /> .�-�cJ �z '�r �a--�-� r�-� r�.-� <br /> STORIES: �-v- SQ.FEET OF EACH FLOOR: ��� � ��� 1 ����������-� �"�� <br /> � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT�CHED DETACHED� s� z_ � <br /> 3 L�.4 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �d �U <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�vork will be <br /> in accordance with the approved plan. <br /> r <br /> APPLICANT'S SIGNATURE: ��L� DATE: � - ��-U� <br /> 31 <br />