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. � '/ <br /> � <br /> Totat Fee: � ��`'� Date Received: 7"�a���� <br /> Entered By: _ Permit#: /Q � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> _ ____ _ _ --._ _______._..----- _ <br /> —__ --- - <br /> -----� - <br /> -------____-- - - <br /> (please pri�zt all i�zformatron ��-�� ����-� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH� APPLICANT IS: (circle o�ae) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �J' �'I�j ���(\ to,�Yl� ZIP: SJ J��� <br /> Will this be a Pa►•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � P10 If yes, a special event per���it Is regiri��ed tivith Police Depai•tment arid City Council appr•ovct/ <br /> 60 days pr•ior to the event. Sl�zrttle bus service 1>>ill be requif ed�rnless applicant demc�nstr•ates <br /> szrfficient on-site parking is avccilable. iVo��-permitted ever�ls lvill not be allorved. <br /> J ��_ i <br /> NAME OF OWNER � C� �p�✓�� � PHONE: (home) �l 7�-'a7 S° <br /> (work)6/ 30 _�07�?�- <br /> MAILING ADDRESS: `v�3 Gf� C..C,r CITY: ��+�`_ c,(� ZIP: �"�°'��' <br /> .-�, <br /> CONTRACTOR: � � �� PHONE: i� ��U�- <br /> CONTACTPERSON: MOBILE/PAGER: (�/a- �30Q-�jo�a77� <br /> MAILING ADDItESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT NGINEE : CJI�'��'{ `�•1y�✓J�`'r5 PHONE: �C��"��7�`a5�� <br /> MAILINC ADDRESS: Saoi ��s-I- R�v�t (�_CITY: �pl S ZIP: �'yd/ <br /> NAME: �/P:L �r�� REGISTRATION: # yy��y <br /> 'I'�'PE OF WORK: New Home � Addition Accessory Structuce - <br /> Move Home RemodeUAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PlZOi'OS�D WORK(clesc�•ibe isl detrri�: bc��� c.,. f�v� ���'N4�' ��! 4�c.��Gc.�h C P <br /> �,�.,����n r4 a�1�`�z� ��ULUt, nC�— <br /> S'TORIES: � SQ.FEET OF EACH F'LOOR; �`�� J`'I6� 07 I�I.3 <br /> Io10. OF BCDROOMS: � GARAGE STALI.S: A'A'TACHEI) x I)E'TACHED_ <br /> �S�'Il!'If1ri'ED�ONS"T12UCTION VALUAT'IOl�t(excluding land): � C���� C�� <br /> I herebv apply for a buildin;permit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill 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 nd�vork is not to start�vithout a permit;and that the��-ork will be <br /> in accordance���ith the aprroved plan. � � <br /> AYYLICAI�'TiS SIGNA'�iJ1�: !l��r'�AT�,: ��',=� <br /> 31 <br />