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- G�`'�'`� ,�� <br /> �a -�3 <br /> Total Fee: $ �� � �� Date Received: �'� - '�� <br /> �ntered 13y: Permit#: /Ob <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review �vill be started. <br /> (please print nll in fnrmnlion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> �oB sITE�n�acss: ��o� �sh��. ��t�-, V�C%���� ziP: ��5�`�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �No lJ:ve,s, u s��ecia!erent pe�•mit is rer�urred rvrth Police Department nn�l City C:ouncil approval <br /> 60�lays���•ror to Jhe event. Shuttle hi�s servrce i�eill be reqr�rred iu�less applicnnt demonstrates <br /> srrfJicie»t on-site parkrng is m�ailable. �Vori-perntrtlec/events rvrll nol be c�llo��vecl. <br /> NAMEOFOWNER: l."�ll��bE.f✓1� �Ll}fX;� PI�IONE: (home) <br /> -� I��m� c � (work) <br /> MAILING AUDRESS: ���� ����CITY: L��'1'1-� ZIP: �5�i � <br /> coNTrzacToli: ��v� �'1nSr�u�;t�v�--. �t-�. I�xoNE: (�S I-5�,�--�j ��'-(p <br /> CONTACT PERSON: � ° (701. � MOBILE/PAGElZ: <br /> MAILINGAllDRESS: �-(Sa l�vn�� `� CITY: {�l�'�i�v��tT�—I-�IP: ���2� <br /> STAT�LIC�NSE: # �t!']L�p��� EXPIRATION DATE: 7�--�(—���'� <br /> ARCHITI;CT/ENGINEER: PIIONT: <br /> MAILING ADD2�SS: CITY: ZIP: <br /> NAMI?: 1Z�GISTRATION: # <br /> TYPC OF WORK: New 1-lome Addition Accessorv Structurc <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSEll WORK(descf�ihe iri cletai!): � <br /> �Z'��G1iLG'YJ�(.., �E��V1�C,4,�.� `-Z�f'G' � m �IJJ✓J �C"�lL��S k-�1�'t,i��''`'S � <br /> ��`�y�v��' U�% . f1'eu:' ��T`�R---r�� �tn� <br /> STORlES: SQ.FC�T OF EACH FLOOR: <br /> NO. OF BTDROOMS: GARAGE STALLS: ATTACHED D�TACHCD <br /> CSTIMATED CONSTRUCTION VALUATION(excluding land): $ �jU�(JliD `��� <br /> I hereby apply for a building permit and I acknowledge that the intbnnation above is complete and accurate; <br /> that the 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 pertnit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ���'��'�'"�' �`� DATE: ��� �' ���'ib <br /> 3l <br />