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<br /> Total Fee: $ DateReceived:
<br /> Entered Iiy: Permit#:
<br /> CITY OF ORONO - BUILDING PERMIT APPLICATION
<br /> All information must be submitted in full before plan review will be started.
<br /> (pleuse print�rll informntion)
<br /> ------------------------------------------------------------------------------------------------------------------------
<br /> THE APPLICANT IS: (circle one) OWNCR CONTRACT012
<br /> �
<br /> JOBSIT�ADDRESS: 3/�_S �os�c.c G:r-e,l� , Urz,�c� ZIP: S�S3`(/
<br /> Will this be � Parade of Homes, Remodclers Showcase Home or other llisplay Home?
<br /> ❑ YeS � �TO If yes, a specinl event permit is requiret!tivith Police Depnrtment and Ci.ty Council approvaJ
<br /> 60 days prior to ihe event. Shutde bus sei•vice wi(1 be required unless applicunt demonsli-ales
<br /> suff cient on-site parking is avnilable. Non-permitted evenls 1vi11 not be n/lowed.
<br /> NAME OF OWNER: I�},��3- E.�,�„_��,�w,�_,,� PHONE: (home) `t�s� -�s�!�-iqp�'�
<br /> (work)
<br /> MAILING ADDRESS: �%;S�`S Cc,..s�c,�, Girc,/� CITY: �,-z;+1i; ZIP: SS32/
<br /> CONTRACTOR: �;k„z,:s,�-;�n t�,.z,��;��,��1..5 PHONE: ��s l 37Y-�y4n
<br /> CONTACT PERSON: .��,sur•Luc�%�h�,r.rj•� MOBILE/PAGER: (,�sl-7S S--d�'C;r, ��
<br /> MAILING ADDRESS: ��� fe.i�,,,�1�,_� 2,�\. CITY: ��,e..,,/1� ZIP: s s"�i 3
<br /> STATE LIC�NSE: #BG-- Zo3 9Co1�-1 7 EYPIRATION DAT�: ,�j3i/<�
<br /> ARCHITECT/ENGINEER: ti ���J PHOi\'E:
<br /> M?_ir T�r p�nuFSS: �I'�'I': ZI1_':
<br /> NAM�: 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 pe mits !
<br /> PROPOSED WORK(describe i�t detai�:�f�,, Q,..,,n,,n.l_ ba� �-� �,�,-�„�;
<br /> Cv:v-,��, Ly,` �q c�-n 1��C� c�c�.,�� r�
<br /> STORICS: � SQ.F�FT OF EACH FLOOI2:
<br /> NO. OF 13EllROOMS: GARAGE STALLS: ATTACH�ll DETACHEll
<br /> ESTIMAT�D CONSTRUCTION VALUATION(excluding land): $ (n,��`�� `'�
<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 ihe work will be
<br /> in accordance with the approved plan.
<br /> Al'PLICANT'S SIGNATUR�� �c,,� , ' �-� DAT�: ��/�3,�(.���_
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