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M <br /> � <br /> Total Fee: $ � �i. � S Date Received: 7 � ; �° <br /> Entered By: h�,12 Permit#: �`� ����� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle one) OWNER OR CONTRACTOR '� <br /> JOB SITE ADDRESS: o�`( I y (�,{��,,MA 1� 1 5-;- ZIP: �S 3� I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No Ifyes, a specia/event perrrrit is r•equired with Police Departme�7t ar�d Ciry Coa�ncil app��oval <br /> 60 days prior to the event. Shirttle bi�s service�vill be re9iiired a�nless applicant demonstrates <br /> sirfficient on-srte parkir�g is available. Non-pernritted events lvill not be allowed. <br /> NAME OF OWNER: �I I�k� �t'�,�] ,� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: o?`� �� C A�i(Y�fl�.l s'-� CITY:O�n��_ZIP: 55 3 f <br /> CONTRACTOR:� I S PHONE:�Sa-`f�2"�`/Co v'1� <br /> CONTACT PERSON: I MOBILE/PAGER:��a-a�� - 3 7� � <br /> MAILING ADDRESS: � , `, CITY:� Q�a��i;�ZIP: Ss 3�, � <br /> STATE LICENSE: #�� �p�[���`�� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> P���;,�rl��;ID�.E��: ����: ��P: <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 /> PROPOS D WORK(desa�ihe i�r detain:�p(,{�� �;��;� G � (,�',ti���,��S <br /> ��- c�.A <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> flp <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /o�,��� . <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 pennit;and that the work will be <br /> in accordance �vith the approved plan. <br /> APPLICANT'S SIGNATURE: � . � TE: 7 �4 �� <br /> 31 <br />