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��'o-� <br /> � <br /> � <br /> Total Fee: $ �a 9� ?� Date Received: ��3���� <br /> Entered By: �-Q,� Permit#: ,�L �D 7�(� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ___.__ __ _-------- <br /> - <br /> (please p��int all rizfornzatior2) ----- _.--- _____ __ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE.R OR CONTRACTOR <br /> JOB SITE ADDRESS: I L/��✓� V��"� 1J'��, ZIP: �� �� <br /> Will this be Parade of Homes, Remodelers Showcase Horne or other Display Home? <br /> ❑ yeS� No If yes, a specia!eve��t perviait ts reqirired ti�vitl�Police Depcu•lmei�t and City Coau�crl npprova! <br /> � 60 cicays pria�to the event. SJnrttle bus service tiail!be requi��ed un(ess npplieant den�tonstrates <br /> szrffieient on-srte park' is avcrilable. lVora-permiltecl evenls ivill not be alloived. <br /> NAM�OF OWNER: V' •�"� Y'�Ih� PHONE: (home) �'(��� �� (��i�i � <br /> 2 /^ �„�� (work) 'L 5 � ��t�� <br /> MAILINGADDRESS: I / 1��� �''""7G' CITY: ��6�'� ZIP: C"-- r <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDIZESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> 'I'YPE O�' WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteratioil (i : , s) �_ <br /> Any earth movement may re uire MCWD review a d p rmits ! <br /> P12 POS�ll WORIC(desa�ibe i�r detain: �v✓�� , ��' � , ✓,/�,/�T G'l�� , <br /> �� .5 V%�� is b� <br /> S'TOKIES: .SQ.FEET O�EACH FLOOR: <br /> NO. OF BEDROOIVIS: � GARAGE STALLS: ATTAC�IED� DE'I'ACHED_ <br /> �S�'I1VI�1�'LD CONST'IZUCTION VE#LUA'TION(excluding land): S ���, �r�� <br /> --� <br /> I hereby apply for a buildintr permit and I acknowledge that the information above is complete and acc�u�ate; <br /> that the work«-ill 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�-vork is not to st�rt without a permit;and that the work�,vili be <br /> in accorda»ee with the approved plan. <br /> _�_____.. <br /> ' __ ___�:l. .____—_� - <br /> AYYLICAI�1'T`S S�G1i1A'�'�J1C��E: . ------ ------ �A�'�: I ' 3I .•-J� <br /> 3t <br />