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' . . <br /> Total Fee: $ � � �J ^ �� Date Received: 7 (J <br /> Entered By: Permit#: � /U/�-(„ <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 infornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cir•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: c�y7� CC�SC� (� R� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If��es, a special event per�r7it is r•equired with Po/ice Department and Ciry Coz�ncil approval <br /> 60 days prior to the eve»t. Shuttle bzGs service will be r•equired unless applicant demonsh•ates <br /> sarfficient or�-site parki�vg is available. Non-perrnitted events wi!/not be a!lowed. <br /> NAME OF OWNER: PHONE: (ho�ne) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: V-� aSt���,( �k,"��^zo��S PHONE: C'da. -3(�' �a��C� <br /> CONTACT PERSON: I rav;.� WaS I�Q-lC MOBILE/PAGER: '` `` `� <br /> MAILINGADDRESS: 1�.�� IQ��cc,,�„�Q �-Av�� CITY: v_v�,u�v�e`T��l/,,q_ ZIP: 5S3Y <br /> STATE LICENSE: # (�c ao.S�.S a�� `f EXPIRATION DATE: �( � �o�T <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1Ylti1L11\TV�L�Lti7J. �ii 3: �iL: <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 /> PROPOSED WORK(describe irz detain: �oo� i v�a <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SILY'x�� <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 confonnance 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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:��-�.W DATE: �I � C�Co <br /> 3l <br />