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` i��,0 b <br /> Total Fee• $ �G6�"'�'9 DateReceived: ��-��v- ��'��'(-� <br /> Entered By: � ^ Permit#: I�1 U �"� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al!informatioiz) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SIT�ADDRESS: �'�,��� ��� �,�C�1C= ��, ZIP: _`�;��j�� <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �O If yes, a s�ecic�l event permit is r•egtrii�ed��vit/1 Police Deperi7r��ent ar�d Cil}�Cozrncil c��proval <br /> GO days prra•to the evej�t. Shut!(e bus sernice rvill be required iinless npplrcar�t dernonstrates <br /> sarfficient a�-site parking is availnble. 1Von-pern�ittecl eve���s tivill not be allotined. <br /> NAME OF OWNER: L�=�,nC,�_ `t- c�� ��`,��Q,�'��i PHONE: (home)�SZ �-17� �7Z�� <br /> (worl<) <br /> MAILING ADDItESS: �� t-��1-� ��{(�'�. CITY:��FiC�(UC ZIP: j{�,� <br /> CONTRACTOR:1�;�� � �`���t�i'1-T�f�� PHONE: �Z ZZ�--( .3C�i� <br /> CONTACT P�RSON: � \ MOBILE/PAGER:(;��7 2�>Z �l 7 Z <br /> MAILING ADDRESS: ���,�C 1 C�(�� � _ CITY:F ! . ` I�)� ZIP: <i�LP <br /> 5TATE LICEI�ISE: # (.� , <�� �XPIRATTON DATE:�3�3/ ���7 <br /> ARCHIT�CT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI'TY: ZIP: <br /> NAME: REGISTRA.TION: # <br /> TYPE OF WOI2K: New Home Addition � Accessory Structure � <br /> Move Home RemodeVAlteration (ie: Siding, Windo�vs) <br /> Any earth movemenc may require MCWD review and permits ! <br /> PROPOSED WORK(describe in �letain: �f�2 `1- — <br /> �hCi�1�1 C��'�� <br /> STORIES: �� I SQ.�'E�T OF EACH FLOOR: I' G � �J��t�,C-���E� <br /> NO. OF BEDROONi�: � GARA�E S'I'ALLS: A�'TACI-i�D ' DETAC'f'�E�_ <br /> ESTII�IATED CONSTRUCTION VALUATION(excluding lancl): � ifC�(�(`� <br /> I hereby apply for a building permit and I ackno�vledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that[ understand this is not a permit and��ork is not to start without a permit; and that the work will be <br /> in accordance �vith the approved plan. <br /> ,.__�i <br /> : , � � � (�� I� <br /> APPLICANT'S SIGNATUR�:: `�r� - '�------_---�3AT�:: `7 �Z�-P - CJ�p <br /> ��� , <br /> o� <br /> >> <br />