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. � -f�,o� c-n_ <br /> � , ��'" .�7 <br /> , �,�� <br /> Total Fee: $ ��, (�(� Date Received: � — Za— C�-7 <br /> Entered By: Permit#: �}///�{3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priiit all infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cii�cle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �9 S,� �f����� ���j/�, ��D <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO /f yes, a special event per-mit is reqzrr�•ed�vith Police Depurtn�ent and City Cozu�cil appi�oval <br /> 60 da��s prio��to the event. Shzrttle bus service tinill be required unless applicant demonstrates <br /> sarfficient on-site parki��g is crvailable. 1�'on-pern�itted evei�ts tivill�7ot be allotived <br /> NAME OF OWNER: �i�/�/�i2� �'1��►�' PHONE: (home) q,sa' � y���3 3 <br /> (work) <br /> MAILING ADDRESS: 19SS N"�/1�✓�'� ,�ZL✓E CITY: G dV D 7IP: <br /> CONTRACTOR: A�T�.� 17D1/1�1�S PHONE: <br /> CONTACT PERSON: � ✓v) ,s t/V1D55�E2(o MOBILE/PAGER: �y a' a��f <br /> IVIAILING ADDI2ESS: � � S. C�'�Z': N � IP• �S�//G <br /> STATE LICENSE: #�a'] �r-/ 9 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 RemodeVAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCwD review and permits! <br /> / / <br /> PROPOSED WORK(clescribe in detcrin: � � E� �C}}� <br /> v ' P -a- s o a � <br /> STORIES: a SQ.FEET OF EACH FLOOR: v�4�� �(1PPE2��D.��l�[,✓E/2� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ p�, �� - <br /> � <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«�ith the State Building <br /> Code;that I understand this is not a pennit and work is not to start without a permit;and that the���ork will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: aD O <br /> � � _,��s��� y�h�.�� <br /> v J .� <br />