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C;��� <br /> I ( �' � b <br /> Total Fee: $ � Date Received: -���� �1�� <br /> Entered By: Permit#: , .,�C � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pYint all i�zformalion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: oc�c3.� i l�h�Je ,�1�� ZIP: SS3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ �'es � NO If yes, a specia!event per•nait is r•e�uired lvith Police Depnrh��7ent and Citv Coirncil approval <br /> 60 days prror•to the event. Shuttle btrs sei-vice lvill be regi�ired unless applicant den�onstrates <br /> sufficient on-site parhing is available. Non-pe��r��itted events will not be alloived <br /> NAME OF OWNER J�rh �e�5t PHONE: (home) �'1Sa� y� �14�CJ <br /> `� , (work)� S�0 �v�g 7 <br /> MAILING ADDRESS: 0��{3,S �on�.)ri�. ,� CITY: W ZIP: �L <br /> CONTRACTOR: �✓d,��e- PHONE: <br /> CONTACT PERSON: J,,„, Q � MOBILE/PAGER: (!� ,S'rro (�2Q'� <br /> MAILING ADDRESS: a�(,�_ y�y�DV �. � CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: 12EGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Ho►ne RemodeVAlteration (ie: Siding, Windows) �- <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain:�.�: p�,:o {��oc.�. AW'�:�� <br /> W'.�� ,, w��. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHrll <br /> d� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /Q00 ___ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that tlle work will be in conformance with t11e ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pennit 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: J DATE: �o �s��� <br /> 3l <br />