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� <br /> f <br /> Total Fee: $ Date Received: % �� � � / � <br /> Entered By: Permit#: �/�� / /`;>j�, <br /> .i_ <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 informatio�e) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR C��ONTRACTO� <br /> JOB SITE ADDRESS: ��(�' � �"� ST��-, C�`�C� ZIP: S��j C.O <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event per•rnit t�s required with Police Department ar�cf City Council approval <br /> 60 days prior to the event. Shuttle bus service wil!be r•equired unless applicant de�nonstrates <br /> strfficient on-site parking is available. iVon-periTzitted events�vill not be allolved. <br /> NAMEOFOWNER: �`^ ' � ������IPHONE: (home) �'� z' �"�� � �'� <br /> (work) (Q t2 � ��i �(o <br /> MAILING ADDRESS: Z 1'Q� ��� S 1 CITY: �%�'��� ZIP: 3� <br /> CONTRACTOR: �����-S��`�- I ti-�C- PHONE: ��'� ���' -�'�'�� <br /> CONTACT PERSON: � �1 MOBILE/PAGER: �v t 2, '7 Z3 -��`�� <br /> MAILING ADDRESS: �4 I,�c,. � � CITY: Glz-GNC) ZIP: S j 3S� <br /> STATE L�C�ENSE: # �`j C�j. EXPIRATION DATE: <br /> i���11� i k c�}}- <br /> ARCffiTECT/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�: C����� �,s�.c� � x � Z� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 C, �-'�'- <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 confonnance 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. <br /> APPLICANT'S SIGNATURE• �lC� � DATE: q- - Z- I � Cv <br /> 31 <br />