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Total Fee: � Date Received: l� $ "D <br /> Entered By: Permit#: � �0(0 � <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 iiifoj�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��9� C� S C� ,A ve._.., o��ti,U /�, �c.J� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �No If yes, n special event�ermit is r'eqirireci 1�vrth Police Departr�rent and Ciry Coiri�cil appi•oval <br /> 60 days prior to the event. Shutt/e bus servrce��vill be required uy�less c�pplicant demonsdrates <br /> si��cient on-site parkir�g is avai/able. Norz per•n�itted events will not be allowed <br /> I�TAIYIE��'O:x�N�R: �iV 1V�7`�1 l��NN t'L.1: PHDN�E: (home) So7�3l04�•5.L 57 <br /> (work)9 SZ- �9,�.-l�uZ ry <br /> MAILING ADDRESS: ���p /95��AU� CITY:N'rc� ,�yA`�t�t ZIP: SG,oT � <br /> �Mti <br /> corrTP�cT��.: - PHONE: 9s� ,�y;� .�y� g <br /> CONTACT PERSON: � ��v»<<K MOBILE/PAGER: J5,1 ,�,�t�-G�s�Z y <br /> MAILING ADDRESS: 3��ic:� �9S'"qvz CITY: ��w� y,�Ati� 4�E�M.�IP� s�c� ' <br /> O"__� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �c'�' NG/� r- ,� �S�5' �r �• pHONE: g 5�- `���`'��S Z <br /> 1VIAILING ADDRESS: '7 5/�a � 5� • CITY: C�1�S,C��2 !��ZIP: <br /> NAM�: -����� v�� REGISTRATION: # � <br /> TYPE OF WORK: New Home �( Addition Accessory Structure <br /> Move Home Remodel/Altecation (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descr•iGe i�7 detain: .�U 1 Ll7 �v�t�w ,t�f cmF � <br /> 2N,� •.�����°���� � <br /> S'I'ORI�S: � SQ.FEET OF EACH FLOOR: /��9i �5�� ;�y� �G�f-�i�%S��'� <br /> NO. OF BEDROONIS: GARAGE STALLS: ATTACHED �C DETAC EH D <br /> � — <br /> ESTIMATED CONSTRUCTION VALUATION(eXcluding land): � s G��1 UG�C: <br /> I hereby apply for a buildin�permit and [acknowledge that the information above is complete and accurate; <br /> that the work��ill be in conformance �vith the o,rdinances and codes of the City and with the State Buildin� <br /> Code;that I understand this is not a permit andrworl:is not to start without a permit;and that the�vork�i�ill be <br /> in accordance�vith the approved plan. ;'" <br /> � <br /> Al'PLICAN'T`S SIGiVAT�lUl2�/' � y�� � �'�/rc.�c%/< )pA��: �- �_ � l <br /> 31 <br />