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. � r� �/b�� <br /> Total Fee: $ �`f• � � DateReceived: ` `���� <br /> Entered By: Permit#: �{p t=j �Z_C: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plense print all informatio�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR� <br /> JOB SITE ADDRESS: I ��l C ��� c. t�rC( r ,�- ��. ZIP: 5 5 3�% <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a specia!event per•mit is r�eqt�ir•ed lvith PoGce DeparU��ent and City Coimcr!appr•oval <br /> 60 days p�•ior to the event. Sharttle bus service 1�i�ill be reqi�ii�ed unless applica��t demonstr•ates <br /> sa ff cient on-sile parking is ai�nilable. Non-per»iitted events will not be allotived. <br /> NAME OF OWNER: J o l�,1 �v'�t ( �� ����✓ PHONE: (home) <br /> (work) <br /> MAILING ADDI2ESS: ��1�c Ca� r.� -�^� �� Sr CITY: C;�"n v ZIP: j 5 3; � <br /> CONTRACTOR: .�n,��,,,,�.�.,� lf. t ; 5 PHONE: �S"/ 3 Y//5'S�c <br /> CONTACT PERSON: Sc. o t� � MOBILE/PAGER: <br /> MAILING ADDRESS: �r z z !.n G�� CITY: %�, 1� /<,;� ZIP: �`s"�'� 7 <br /> STATE LICENSE: # 7� �z y� 5� EYPIRATION DATE: .3- �, - �� <br /> ARCHITECT/ENGINEER: PHONE: <br /> N.I?_�i INr A��1�FSS: CI'1_�'�': ZIP: <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 />�- �; ,_�'ROPOSED WORK(describe in detai�:_�l- ,t�v�'�a//.r� z �,.a s..�.�-�.� �� ��.•�c���-�5 <br />� . � � �/ �,.� �G�.tr+-� �c-, ��s t7�•b..�_'� ,�,.�i� Ojs...�,( j�-c.r..�yw. <br /> �1i <br /> '�� STORIES: SQ.FEET OF EACH FLOOR: <br /> �-�� NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> �i <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � 2 s��� �� � <br /> I liereby apply for a building permit and 1 acknowledge that the infonnation above is complete and accurate; <br /> that the work wilf 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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �^-� � DATE: �- � �' C� <br /> 3t <br />