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w � <br /> Total Fee: $ ��� Date Received: ��'"L '0� <br /> Entered By: (��� Permit#: ���� <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 one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �C>jC� ��� c;�7G-%c�l-.v'1 - ZIP: �SS 3�1��0 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reyuired unless applicant demonsd�ates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: .-Sci.CC��- �c�� �j ���,��m��-� PHONE: (home) �'��-yc��viy <br /> (work) <br /> MAILING ADDRESS: J�1 D 1�-�' U; ec..v i-�? CITY: ��,��, ZIP: �3�Z <br /> CONTRACTOR: C'�1�:�t�S���.�..-�s C�l�rz�• � �i�� c PHONE: �(o '� -(� 3-/3 S'C� <br /> CONTACT PERSON: j�,,-,;� ('��,.F,r,��,-,�, MOBILE/PAGER: �i�- ���- �3� <br /> MAILING ADDRESS: ��0,�� !/(o�S �, l�l r,U CITY: ��(��h�-��,� ZIP: S`-j,3;>� <br /> STATELICENSE: # �G,� �y7��} EXPIRATIONDATE: � �-�3%-(".��' <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�: '�`�� ��g�-��` � ���� ��Cp� c'- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ v�� �CSZ� �' <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 aceordance with the approved plan. <br /> �.���� � <br /> APPLICANT'S SIGNATURE: -�''��� DATE: �(��-�-U~? <br /> 31 <br />