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��12�(n�P <br /> 'i'otal Fee: $ Date Received: (r :,2 G �:� �., <br /> �ntered By: Permit#: ���% i����'C_� �� <br /> (�ITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pr•int all i�zfo�•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE�'�DDRESS: ;Zv.S� �10,�(•� Q,/�„�t i'J�^, ZIP: SS 3(0� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ,,�No If yes, a speciad event permit is re�uired with Police Departrnent and Ciry Council approva( <br /> � 60 days prio�•to the event. Shuttle bi�s service will be��equired unless applicant demonsb•ates <br /> sufficient on-srte parking is availnble. Non-permitted events tivill not be allowed. <br /> �S Z <br /> NAME OF�WNER: �'1v ( �t��.q 2✓'�4��� PHONE: (home) �/7 Z-C�7 g� <br /> (work) <br /> MAILING.ADDRESS: t2o� ��,�.� Ct��,,�,, �� CITY: M����� ZIP: S 5r3G�-/ <br /> CONTRACTOR: j�-e:� ���S�T�c i-;�o�� � , �-� L PHONE:��Z �{7 2 l��c/ <br /> CONTACT'PERSON: IM���.� �C�,'s t c' MOBILE/PAGER: �o c Z �-lv S�' U ZZ Z <br /> MAILING.ADDRESS: („�,� Cl��,�rv:.�r�^d ►'Z� CITY: i,��„�,,1c1 ZIP: -��� �� <br /> STATE LI(:EN5E: # 2o r �r-7 5�S'J EXPIRATION DATE: 3--3/—O �7 <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 detain: �--� ��o v.� .r— �'-e �(c��� a ��K <br /> ✓1��, ��F�(C w ` � ( l� � s c��ti�� S �'Z��- 5 i�w��a •� c-�� �(c� CE �� /< <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BE;DROOMS: GARAGE STALLS: ATT�CHED DETACHED <br /> ESTIMATIED CONSTRUCTION VALUATION(excluding land): $ �{�uJ�� <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 the work wiil be <br /> in accordance with the approved plan. � <br /> APPLICAI`1T'S SIGNATURE: DATE: G�2�'~�� <br /> 3t <br />