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� � \ �'l�l <br /> � ���( � �R✓ / <br /> ���. ,/� , V <br /> � � oa� ��' ` '�`� <br /> Total Fee: � 'd <br /> $ DateRecerved: ��� 7 <br /> Entered By: Permit#: � D$ �3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a!l information) � �� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> __--- -----._...__.__--- <br /> -- -- .,�\ �_��.'` _ 1 <br /> THE APPLICANT IS: (c•ircle ne) OWNER OR CONTRACTOR � � <br /> JOB SITE ADDRESS: �CT� � 1--� ��� ZIP: ���b <br /> Will t ' e a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Y0S ❑ NO If j�es, a special eren�per�nit is r•egiiir�ed i��ilh Police Department and Ciry�'otmcil appr•oval <br /> 60 days prior to the erent. Shutt/e bus se���ice�ri!/be required unless applicant demof�sn�ates <br /> sufficien!on-si�e parkrng is available. .�'on-perrnrtled erents�rrll no1 he allowed <br /> NAME OF OWNER: ' � ��' C I�--C._ �-� PHONE: (home) �� �-, �'�� � S� <br /> (work) S�nti�� <br /> MAILING ADDRESS:��� �j� (��'��CITY: �jp c IJ ZIP: -��t <br /> � 1��-.�.�- / . <br /> CONTRACTOR: �� - �J C� PHONE: v�,� <br /> CONTACT PERSON:��c� z �E/PAGER: �C� <br /> MAILING ADDRESS: ' Sf�- , ZIP: ���/ <br /> STATE LICENSE: #� EXPIRATION DATE: <br /> ,, <br /> ARCHITECT/ENGINEER: PHONE:CeI L- �� 2,�-� <br /> MAILING ADDRESS: Z 7�� ` �T -� 5 CITY: L ZIP: _�'� <br /> NAME: — REGISTRATION: # <br /> TYPE OF WORK: Ne�v Home � Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD rev'ew an ermits! <br /> PROPOSED WORK(descrihe in detail�• � �-t- J^ �; <br /> ��� �� �� � <br /> STORIES: � SQ.FEET OF EACH FLOOR: 1`I �� I�� [ . �� f•�CQ -L``�`�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED �-E--+�`x-- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $,j�/ �� <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinanc and codes of the City and with the State Building <br /> Code;that 1 understand this is not a permit and w ' n to start without a permit;and that the work will be <br /> in accordance with the approved plan. l _ <br /> APPLICANT'SSIGNATUR . DATE: "O <br /> / <br /> 31 <br />