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y ;��' .a f , �< ., '' <br /> , , ,�: <br /> i r�' � � <br /> Total Fee: $ j71��, ,�� � DateReceived: / ����C � <br /> Entered By: - ,iJ�, �� Permit#: �/ �C; ZI <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priizt all informc�tio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) WNER R CONTRACTOR <br /> JOB SITE ADDRESS: 1�� PA�Z� ��� ZIP: �3�`�t <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event pei•mit is regzrir�ed with Police Department and City Counci!appr•oval <br /> 60 days prior•to the event. Shz�ttle bcrs service wil/6e i-eqz�ir•ed a�nless applicant demonstr�ates <br /> sa fficient on-site parking rs available. Non�er�nitted events tivil(not be allowed. <br /> NAME OF OWNER: �E� � ���� ����, PHONE: (home)���"��a���� <br /> ` (work) (v��^��l'�-ll� � <br /> MAILING ADDRESS: ��7`��i �A2� �Z.s� CITY: r��°'`� ZIP: '��'� <br /> CONTRACTOR: �-1��( I r���c� PHONE: ��o�a��l -�ta� <br /> CONTACT PERSON: �jc.c� �.�(�-�C„x�( MOBILE/PAGER: <br /> MAILING ADDRESS: tS t � � �. �.J � CITY: 5���� ZIP: �� <br /> STATE LICENSE: # +�/r� EXPIRATION DATE: — <br /> ARCHITECT/ENGINEER: "��� PHONE: �'�-��S�" ��a�P <br /> NIAILINGADDRESS: ��S �All,l�,s -�-�- , t rvc CITY: 1�L���� ZIP: � <br /> NAME: �'�w���x� ��� REGISTRATION: # ����3 <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 detcrin: �z-�,����', :�A'l\ ���l�"�.n�.�'�' <br /> �.- QicCo+SSTRJL�+� C,crr �r�� "�i�.`���. <br /> STORIES: � SQ.FEET OF EACH FLOOR � <br /> NO. OF BEDROOMS: �- GARAGE STALLS: ATTACHED -- DETACHED '� <br /> ESTIMAT�D CONSTRUCTION VALUATION(excluding land j: � ���� � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill be in conformance with the or 'nances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and� o k is not to start without a permit;and that the work will be <br /> in accordance �vith the approved plan. ;' <br /> APPLICANT'S SIGNATURE: DATE: �o�` �� <br /> 31 <br />