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� <br /> , <br /> Total Fee: $ � �SO e �� Date Received: �� �� � ��^ <br /> Entered By: Permit#: � 'L+' <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 information) �����.�� 3_�� _�d��7 <br /> ______________________________________________________ d <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: ��. �.�-� I�cY�c.kc�: �'c`�a,�� 1 ' c�� zir: ��3�i i <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �„NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suffzcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: J <,���`��r ���S��C�111�L\�('('� PHONE: (home)��S�-���3 '��j�7 <br /> (work) <br /> MAILING ADDRESS: 1����1���e�{�"�;�n��'�,CITY:v�-+!�y l.l�c�, ZIP: ;��' <br /> CONTRACTOR: �C'�%'Z\C�t, ��ilC��"�T�\�� -�.�►1� PHONE: �; ��--�J��'7-�C�7� <br /> CONTACT PERSON: -� � �•.� t �� '�� MOBILE/PAGER: �, j �- �F�rl - ���� I <br /> MAILING ADDRESS: �Z`.^� �_��r1F i ����c`��ITY: �' ��: ZIP: r��� <br /> STATE LICENSE: # "]`G(""r�C�� � EXPIRATION DATE: �� � j � �� <br /> ARCffiTECT/ENGINEER: � Y\�t<��(' t'��,c;�C-►r�'F?; PHONE:b l�� `�'7( --���I�{� <br /> MAILING ADDRESS:�4�` �c�L� �l ��t� CITY:� l�° ZIP: ��1� ` <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> T- <br /> Move Home RemodeUAlteration (ie: Siding, Windows) X <br /> Any earth movement may require MCWD review and permits ! <br /> P OPOSED WO,RK(describe in detai�: ��m�. c��\ 3 ����`��1����� ,��t��L�--���•� :n���'��"�� <br /> T�c�.�� ���c�..� rc��:� l� r; <br /> STORIES: � SQ.FEET OF EACH FLOOR: r ��� <br /> NO. OF BEDROOMS: �1-�_ GARAGE STALLS: ATTACHED3 DETACHED_ <br /> c"�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �, �� h <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that tbe work will 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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> �� � ,� <br /> , <br /> APPLICANT'S SIGNATURE: "�'� ���� DATE: I I� �j <br /> 31 <br />