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_ ( �'D� <br /> r � <br /> Total Fee:� $ � o /, � Date Received: I�— T�—�7 <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 infoYmation) . <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3�9 I�1t4JA�,� L+J ZIP: s.S`39l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a special event pernzit is required with Polrce Department and City Coz�r�cil approval <br /> 60 days pr�ior-to the event. Sl�uttle bus service r>>ill be required z�nless npplicant den�onstrates <br /> sarfficient on-site parking is crnailable. Non-permitted events will r�ot be allowed. <br /> NAME OF OWNER: C�� �� PHONE: (home) �iZ q�� g-7� <br /> (work) <br /> MAILING ADDRESS: j P�:.�,,..s P.� L�.! CITY: U1��ae ti�h„! ZIP: ����� <br /> CONTRACTOR: �1�s r-� �-�--�-�%�S�'�L..� PHONE• «� ''� �-%�f�' ��3�8 <br /> CONTACT PERSON: ,7`jpv��`' jJe�-�i.se r�MOBILE/PAGER: v <br /> MAI•LING ADDRESS: -�� 0� Bc,r: y i,�- CI'I'Y: �ir°f'/4 /o ' ZIP: ,$�5 3/ � <br /> STATE LICENSE: # �.�0 3% /y/D EXPIR.ATION DATE: .3-3/ -Og <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure �C _ <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> t <br /> PROPOSED WORK(descri6e-in detain: (�,�-� ��; 4 �e,p�}.�.A.v+�c,�' o�- <br /> St�n�, s�-cac.�u,. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH+ED DETACHED� <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � L2,pOp, �SiG v,t f�L �a� <br /> I hereby apply for a building permit and I acknowledge that the infonnation 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 wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��..�.—�' DATE: �,-Z(n-�"] <br /> 31 <br />