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. ! . <br /> Total Fee: $ ���' z� Date Received: � I J�I Ow' <br /> Entered By: ��� Permit#• � C; _j-^,;4', <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: (circle one) OWNER OR NTRACTO�R+ <br /> JOB SITE ADDRESS: 2y�y C+�[w�t r� S�, ZIP: ��3� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event pernzit is reqatired with Police Depcn•tment and City CoaEncil approvcrl <br /> 60 days pria�•to the event. Shuttle bus ser•vice lvill be r•equired zinless applicant denionstr•ates <br /> szrfficient on-site pni�king is available. �Von-pernzitted evef�ts will not be allotivect <br /> NAME OF OWNER: M I kt Q- G�+�C p�'�I t� PHONE: (home)��Z�U 7� 'G 3�� <br /> (work) �Z- ��-�S� <br /> MAILING ADDRESS: �y'`� C i4e►y��N S�, CITY: G i1��"��' ZIP: '�5�i 1 <br /> CONTRACTOR: ��--,t �tC k °- �oc��t C��"�"AN'; PHONE: `�5�-y�2`"Z��� tx� ���3 <br /> CONTACT PERSON: �11 k t- R v t�Y MOBILE/PAGER: <br /> MAILINGADDRESS: I�(,�2AKe�� A� �• CITY: ����KGr��Nr.��J ZIP: ��`����� <br /> STATE LICENSE: # ���� EXPIRATION DATE: '�f 3� /�"� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �� Accessory Structure <br /> Move Home Remodel/Alteratio�� (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: '7iCl� A� �-t�c�w 5�-� � ��"� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �2iC�c � <br /> [hereby apply for a building permit and I acknowledge that the information above is complete and acc�u•ate; <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 pennit and�vork is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� � � DATE: � ^31� <br /> 3l <br />