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. .f � � <br /> Total Fee: $ �-?�''L/ � C ( Date Received: � - <br /> Entered By: Permit#: D <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> --,. <br /> THE APPLICANT IS: (circle on OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ,� J � � ' � ZIP: .5 J ��� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a specia[event permit is required with Po[ice Department and City Council approval <br /> 60 days prior ro the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��������s C�� �-�ri/zi��, % <�'��rE;% PHONE: (home)%�-`/7�``�7� 7 <br /> (work)1;�/'�7-S��(a� �/�r��� <br /> MAILING ADDRESS: ? �,�� i��'1"`��v�� CITY: �(�w� ZIP: .S3 3Ci/ <br /> r <br /> CONTRACTOR: `�� �-- r PHONE: <br /> CONTACT PERSON: �'7c����.�:�� ;��r .�, �,� MOBILE/PAGER: l���a_��;'�^ `! (c � l I <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �C:' C_. 1 ��� t i } 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 rev�ew and permits! <br /> PROPOSED WORK(describe in detai�: i"�a«;����<<���; /��'��-<, G�s�� !Sr �%.-'���� �-- �� ��.��1-,�� <br /> STORIES: ''�'�� C�"`�� SQ.FEET OF EACH FLOOR: � �G3C) <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ' � v��v <br /> 1 hereby apply for a building permit and 1 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 1 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. /� <br /> APPLICANT'S SIGNATURE: � ��'�y'� C��-��-- DATE: -`•-���� 7 <br /> .` <br /> 31 <br />