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Total Fee: $ l 0 (9• � DateReceived: 9 -,S-�Cp <br /> Entered By: , Permit#: i°/UZ�7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p��i�7t all informatio��) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle a�e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: cx�C���/l3� I }�LI�F �G��( L�l�= ZIP: �`7�J� t4 <br /> Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes � No If yes, a specia/event per•mil ls r•egirir•ed tivrth Police Department ar�d City Cot�ncil approval <br /> 60 days prior to the evef�t. Shi�ttle bzis servrce will be re�crir•ed arnless applicant dei��onstr•crtes <br /> sz ff cient oi�-srte parking is available. IVon-permitled evenls i-vill not be allowed. <br /> NAME OF OWNER: �k'N P�LI� r�"�I,I.S�A PHONE: (home)���-r3-��f��dU <br /> p (work) <br /> MAILING ADDRESS: ���Cy�;/u�:T 1 L�� CITY: �E-r'1�•���£_ ZIP: ��35 • <br /> CONTRACTOR: ��.�I��VI,T� I�OO FI I�� PHONE: 7��'�73�-� 3� 7 <br /> CONTACT PERSON: ��Q_,(,� MOBILE/PAGER: �;(��- � �,$ ••�3��% <br /> MAILING ADDRESS: � 1��5 (;'I-y t�,Cj �1 f CITY: P��vr��u,t�-, ZIP: ��� <br /> STATE LICENSE: # �3�� EXPIRATION DATE: � i �7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: 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 /> PROPOSED WORK(describe in detai�I`�"�f}�-D���f� E�r1C��y�� ����������f ��vs��f� -��������'rr <br /> ►.:�w�{�.t:�ta.u,�ys:����o�e:T�JsTt��� sr.l��c�si.1 F�b�tY�(c,sS Ar�ki-��s#u,��sh����lt-T 's_ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTAC�I�D DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding 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 �mderstand this is not a permit and���ork is not to sta�.t without permit;and that the work will be <br /> in accordance with the approved pla <br /> ,., <br /> .�� � s <br /> AYPLICANT'SSIGNATUKE ATE: �`� °'��Q� <br /> 31 <br />