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_ �; . <br /> Total Fee: $ �r � ''� � - � 1 Date Received: `�� �[� � �� <br /> Entered By: ��� , Permit#: � - 2�-(� 7 <br /> �_/' t%' .l (_(_ .� <br /> } „ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before �lan review will be started. <br /> (please p��int all inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle oste) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 6 �S�L' S txf�� ,��U�f��+h �o.v�/�K�' ZIP: �*���v5 G <br /> Will this be a Parade of Homes, Remoclelers Showcase Home or other Display Home? <br /> ❑ YCS �NO ITyes, a specic�l eveht permit is requir�ed tivith Police Depcu�tmef�t n�7d Ciry Counci!app��oval <br /> 60 da�,s prror to the ei��ent. Shut�Ie Gzrs service 1-vil!be reqirired a�mless applicar�t demonsU•ates <br /> sa��cient of�-side parking is available. Non-per��riiltecf eve��ts tivill r7ot be allotived. <br /> NAM�OFG1W1�1E1�: �i�n � Svc1��p i�'�e��,rt�r PHONE: (home)`P�v?-Gi'�5��`ll�l..3 <br /> (work) <br /> MAILING ADDR�SS: /��71 �L�'-��F�r1� k'd� CITY: ���L�rX ZIP: <br /> Ct)r�TRA�TO�: ,�jR\.ft-�S-����hc-v�.sc�a C��;�s�-, �L"�:.'t... PI-�Ol\TE: 7�:� .�17�' "�.?z`'.�1. <br /> � CONTACT PERSON: (�R�it-� 5-fC�.���St•,� MOBILE/PAGER: G"�!vZ` y�`1-c.3�1 T 7 <br /> MAILING ADDRESS:,,`��� i�yu:v,�� k',�_CITY: jY'l�cl�.%�',fi- ZIP: . ".S �_3-t v <br /> STATE LICENSE: #�a,�,�,�, yj"9 �XPIRATION DATE: 3~3% -v 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> T'YPE OF WORK: New Home Elddition � Accessory Structure <br /> Move Home RemodeVAlteratio►1 (ie: Sidiiig, Windows) <br /> Any earth movement may re uire MCWD review and permits ! <br /> PIZ�POSED W�RK(descril�e in detuil�: _,q�,D vC n� �1C�tiZ, (�-.�n.�;�: ��rrL,�t��C�'++� <br /> STORIES: � SQ.FEET OF EACH FLOOR: I Z,jL'� <br /> NO. OF BEDR001VIS: r� GARAGF. STALLS: ATTACHEI�� DETACHED_ <br /> c�£a <br /> ES'TIIVIA'�d'ED CONSrI'12UC�'IOI�t VAL;UAZ'IOl!'(e�clucling lancl): � _:j��`�,��t� � <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 E3uildin� <br /> Code;thaC I understand this is not a permit and worlc is not to start�vithout a permit;ancl that the��vork will be <br /> in accordance with the approved plan. <br /> , <br /> APPLICANT'S SIGNATURE: � � � I�AT�: �+�`" �� <br /> 31 <br />