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ti � '� <br /> � �� �`� <br /> Total Fee: $ C '� Date Received: —�� r�-/(.� <br /> Entered By: , Permit#: �� - <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 info�•�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ch•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: < <�.�C� ��5�`�����i�� ZIP: ,.� <br /> � _ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No !f yes, a special event per�nit is r•eqcrir•ed 1vr�th Police Departrr�ent and City Coarncil cappr•ova! <br /> 60 ctays prra•to the event. Shzdtle bus service will be required trnless app(icaf�t demo�7strates <br /> si.��cient on-site parking is available. Noiz-pe�:nzittecl events�vill not be allotived. <br /> NAME OF OWNER: J��.(� � �i Vl�i �.t3���Z- PHONE: (home) � <br /> (�vork) <br /> MAILING ADllRESS: �.c;p� c��c� o,\ �CITY: �v ZIP: ���� <br /> �- <br /> CONTR.ACTOR: e, 'Z PHONE:�,7�-2 c��� <br /> CONTACTPERSON: � ' -� MOBILE/PAGER:�(��Z•-f���.-o�c�, <br /> MAILING ADDRESS: ��3; CG(Z'*�t c�� CITY: l�V(;tlz-;�- ZIP: S� 3�S <br /> STATE LICENSE: #_� �,� EXPIRATION DATE: ' c_I.l ��`-j <br /> ���` � J <br /> ARCHITECT/ENGINEER +�' S � NE. ` 5� - Qc�� <br /> MAILING ADDRESS: -' � ' O CITY: i,r o��•- ZIP: -S �—�iL(a <br /> NAM�� c, � � REGISTRA ON: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alterat�� (ie: Siding, Windows) j��_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: p ;� � �j <br /> C� .C.' . � �" � � .. - -��r C'��. <br /> STORIES: SQ.FE�T OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(exc(uding land): $ � <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 pennit and�vork is not to start�vithout a permit;and that the work���ill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE. DATE: C7 <br /> 1 <br />