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v�' �`' <br /> �\�� � <br /> Total Fee: $ f�7 . 02�j Date Received: �" /r� r'l" <br /> Entered By: �� Permit#: / �l� < <(y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print u[I information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �'� �ct �G� �, , ; �P I f t�� �l� ► !.��f::' ZIP: i.,�� �r.. �, ('`� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a special event perinit is reguired with Police Departnsei�t and City Cozrncil approval <br /> 60 days prior to t/�e eveizt. Shuttle bus service wil!be required unless applicant demonstrates <br /> szrfficient on-site pa��king is availab/e. Non-pei•naitted events wil!not be allowed. <br /> � <br /> NAME OF OWNER: ��'"/�J� �::,� 1�,.r � PHONE: (hoine)`��--�����1:; ���%�� <br /> � (work) �`.�' �f1 Sf-��)`1� <br /> MAILING ADDRESS: -�-��tl'���`r't �'�d�:t r.-�� �'�`.,�CITY: �,;•- �y�'�� ZIP: ;SS�,S`�, <br /> CONTRACTOR: `,�• � '� � `" ?�� � ':,�.� PHONE• ',/�-r� � <br /> CONTACT PERSON: Ac-rv `I C. SD�-3 MOBILE/PAGER: ��'�'.` a' ' �` <br /> MAILINGADDRESS: � , CITY: L���C� ZIP: _��_,_�z;��_: <br /> STATE LICENSE: # EXPIRATION DATE: <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 det in: ��f � � - i: -r.�„ f <br /> � <br /> �! `� `�/�/;'` �� �.�""^` �0 a..�'c^r7 (" ', , � � r`� �'e�'�;� <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR: �.� � ������ (- , <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S �-G C t'.� <br /> 1 hereby apply for a building pennit 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 accordance with the approved plan. ; � � , <br /> � �'��1�--� � �'� �-�v x <br /> APrLICANT S SIGNATURE: DATE: .. t l.� <br /> 31 <br />