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M `'` <br /> \ <br /> � 41� � y�/� <br /> � �, �`'' �� �� � �V <br /> �� � � <br /> , <br /> Total Fee: � 0�� � � Date Received: /Z�Z c��0(U <br /> Entered By: Permit#: �� j ��(„�(�z <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pYint all informatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cii•cle one) OWNER OR CONTItACTOR <br /> JOB SITE ADDRESS: J ;;, �1 /l�e�`,-'�I� j�,'' �.^� 1/r; v�.. ZIP: .�5 3 � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �,NO If yes, a special event�ernait is required 1�vith Police De�c�rtr�rent arid City Council approval <br /> 60 dal-s pr•ior to the eve��t. Shuttle bus service wil!be reguired zu�less npplicant deinonstrates <br /> sufficief�t on-site parkiivg is available. Non perrnitted events tivill not be allowed. <br /> NANYE��OWNEP.: �� �v'l I`"C�fC=r 5C-'!l P�-I�NE: (home) �/.�'�-�-5 7'�7 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> con��.�cTo�: r^1��-�tzc�l�� �/�,�t��s l� � rxo�r�: 95�Z-C,�7-.�i3�' <br /> CONTACT PERSON: T�„� r7a�fzc,i� MOBILE/PAGER: ��� —�7L��- y 7,z� <br /> MAILING ADDRESS: � 7.5� t/,,,,,; ,�S' CITY: �� �- � ZIP: �5�3 l�d <br /> STATE LICENSE: # �� rj � � �-S 3 n EXPIRATION DA E: 3 - �j-O �7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1VIAILING ADI3RESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessorv Structure <br /> Move Home RemodeVAltecation (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits ! <br /> PROP)OSED WORK(describe in rletain: jc'�7���cl ���c.c�S �✓ , ,(al,",,t�� <br /> �I �I�J( r�',k7��{G�' �C<'�i n_��C�lr Cf i 1 �'1 Gi i�/1 �.�LC/C`'��%"l Q <br /> � <br /> S'I'ORI�S: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATTACHEI) ll� ACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � ;_��:! ,�,�_ <br /> I hereby appl}� for a buildin�pennit and I acknowledge that the infonnation above�complete and accur <br /> that the work will be in confonnance with the ordinances and codes of the City and witli ttre-�ta uildin� <br /> Code;that I understand this is not a permit and�vorl:is not to start without a permit;and that the���ork�vill be <br /> in accordance �vith the approved plan. <br /> i <br /> � � <br /> APPLTCAN'T°S S�GNATLTFtE: 17A 1�E: /'� �—/�—O�v <br /> 3� <br />