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� �,, ��� - �"��t�P <br /> , � v � �� -�� �� <br /> . r� � � 0 <br /> � �� <br /> 1 � V�� <br /> -� ._ � ��° � oqGG`fi <br /> Total Fee: $ �.X. (� C-�.-{� Date Received: <br /> Entered By: ^'S1�vt�. Permit#: Ip U� <br /> � <br /> C�� , ` CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> n ; <br /> G- All information must be submitted in full before plan review will be started. <br /> (plecase pf•int all infor•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle oize) OWNER O �ONTRACTOR <br /> � <br /> JOB SITE ADDRESS: ?(,[��� �,,��,v,� ��� ZIP: — `- <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 reguired with Police Departnzenl and Ciry Cou�cil approval <br /> GO days pr�ior�to t/ze ever�t. Shzrttle bus service wi/1 be rec�uired ainless applicarzt der�zonstrates <br /> sa fficient on-site par/cing is availab[e. Non-permitted events will not be allolved, <br /> NAME OF OWNER: � � (C�''_� � "� PHONE: (home}r-f���-�/7� "—�1.-Z`� 7 <br /> / (work) <br /> MAILING ADDRESS:7,�� S R,��w� CZ�� CITY:(��✓�� :�li ZIP: ��� <br /> CONTRACTOR: ��-e✓��v�c� a-�e-�0�'t � � PHONE:� l.2 7`� 95 y5 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: j���/'�� �o c � ,�-c� CITY: i�;,-�-c"�'t� wZ�P: ��`.�" <br /> 5TATE LICENSE: #�d,� ��3 Q�/ EXPIRATION DATE: � -7 <br /> ARCHITECT/ENGINEER: /v � � L 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 /> Rny earth movement may require MCWD review and permits ! <br /> PROPOSED WOI�K(describe i�i detain: � r"�� Cy;c� �f�Cl�F S �- c� �� <br /> C:l T-r'C�C �"�G f <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE ST�LLS: ATTACHED� DETACHED_ <br /> �; -,�-, c�,c� <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 ordinances and codes of the City and with the State Building <br /> Code;that I wlderstand this is not a permit and work is not to sr.art without a permit;and that the work will be <br /> in accordance with the approved plan. � ' ,� /, <br /> / �j,%`" <br /> APPLICANT'SSIGNATU ' .� � �, DATE: (�j— lb- �'b <br /> l <br /> �l <br />