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<br /> Total Fee: $ Date Received�� �`` � �/ i� > �/'
<br /> Entered By: Permit#• '
<br /> CITY OF ORONO - BUILDING PERMIT APPLICATION
<br /> A(I information must be submitted in full before plan review will be started.
<br /> � (please print all inforrriation)
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<br /> THE APPLICANT IS: (circle one) OWNER O��ONTRACTOR
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<br /> .�..________.
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<br /> JOB SITE ADDRESS: `'�'' ,_, ; ._� �'CT L�� %r r�; ��'�� t'' ZIP• `C l" �� �.
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<br /> Will this b a Parade of Homes, Remodelers Showcase Home or other Display Home?
<br /> ❑ Yes � �TO If yes, a special event permit is required with Police Depa��tmenl and City Council approval
<br /> 60 days prior to the event. Shuttle bus service will be requi��ed unless applicant demonstrates
<br /> su�cient on-site parki�tg is available. Non permitted events will not be allowed.
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<br /> . ,� ,•'�� r'`�r���r ` ' `� 1 / �/e. Lf 7 ' ' /`!�
<br /> NAME OF OWNER: �''� �, � / :� � !G PHONE: (home) `�� ' �-� ��� lG'
<br /> � �, � '> > = `� �'ork)
<br /> MAILING ADDRESS: �� � -!�Gi�i f�, �tl' CITY: ���� �' i JLIi ZIP: �; 5'G��%
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<br /> conrTuacTou: , �,�� �'�: G ��� �; r. �, � ,- � , _ ��r � ��.
<br /> ��Y ,�:, �, "t �; ,, PxoNE: 1;�� ,��, ._y�.
<br /> , CONTACT PERSON: �-���t� ;'��'��'; �;, 'MOB`�LE/PAGER t� �:z -,�C,� � S 5..�,�'
<br /> .�(� � ,� �' MAILINGADDRESS '`C� ✓'�k '3 �' � CITY: �"���'�` : ZIP: �S��/ r;
<br /> �V _�V^� STATE LICENSE: # " `� ��,�;� �`,� EXPIRATION DATE. ��� K`c�'��� >
<br /> V� . s
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<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 m�y requir�.,MCWD review and permits!
<br /> PROPOSED WORK(describe in detai�: >'�<_ �r � ✓ '`
<br /> STORIES: SQ.FEET OF EACH FLOOR:
<br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
<br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��l ��' � �
<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 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. �' „ � �. j _ .. �'
<br /> -�.-�:� 1"� � ,.,f't�y-t rY?�1'�/ J ,r � e�,� ',� �''
<br /> APPLICANT'S SIGNATURE: ;���%��`i �" . , I�ATE: �'% �`' �'' % � , �- ✓
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