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Total Fee: $ ���_ r � Date Received: �' Z��V � <br /> Entered By: �,�i�N^ Permit#: A-���jQ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be star-ted. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTO <br /> JOB SITE ADDRESS: J�-�'� >S� �,,,,�,��, 1Z� zIp; .�'�`�k-��I <br /> Will this be a Parade 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 se�-vice will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �^�U�`���� ����y� PHONE: (home �1- i/-`�,7�y <br /> ' " / (work)`��.5 C�'��l- �,�.x� <br /> MAILING ADDRESS: /� �SLi,C�c��,/�a'�cl c� CITY: l,uc �4.�" ZIP: _��5� <br /> CONTRACTOR: �j � ' - ��=. PHONE: �5 I'�3� '10,�.,3 <br /> CONTACT PERSON: ' �� OBILE/PAGER: ��S�-,3'>��2 — �—� <br /> MAILINGADDRESS: � �.��p r7�,yL� �r-f�Y CITY: �-4�t'��i f� ZIP: ,S"�,�H�/ <br /> STATE LICENSE: # ��Gz,�t�� /,�; �XPIRATION DATE: �/`�,��'� <br /> ARCHITECT/ENGINEER: /�%�- PHONE: <br /> MAILING ADllRESS: 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�:�Ce��7��% �'C;�� . � � ����,�r��.?S <br /> 161 �� �cb'tt-n �_����fC-C /���' �C-Cii"�`�c'T �'`-�c�rY�, ,l� l�j`.'rl�c'n�-�illU�/�j�� � ;r� .C4�'�. <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: ���) <br /> NO. OF BEDROOMS: �' GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�, .��� <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 ardinances 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:��72���.��%�.g� � GY�� DATE: ��p��/O/ <br /> �� ��C� <br /> �� <br />