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� Total Fee: $ �i�a �'��r Date Received�• ��i��j <br /> Entered B : ;� Permit#: /—�" -� � ` <br /> y � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all ii�formatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR NTRACTOI�' <br /> JOB SITE ADDRESS: ,2('9 Q (�,,;�,,� �� Oro,�� zIP: �53�� <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If�,es, a special event per�n�:it is reguir��ed tivith Police Department and Ciry Coirncil appr�ova! <br /> 60 days prror to the event. Shz�ttle bats service ivill be reqi�ir•ed unless npplicant de���onstrales <br /> saE�cient on-srte parking is availnble. Non per•mitted events will not be allowecl. <br /> NAME OF OWNER: ���i�P �r✓tcJ�I o� ;n�1 PHONE: (home)� y7�.� y��9 <br /> (work) <br /> MAILING ADllRESS: ����� �a��/ �Q�� CITY: Q�a�,� ZIP: <br /> CONTRACTOR: f���� ('�er�.�r�;�,� PHONE: `1� - "'• �" <br /> CONTACT PERSON: (���� C1;�t MOBILE/PAGER: �" � `' <br /> MAILING ADDRESS: �� 7,��;,«;�-v�� ;;�" CITY: Nr. �I�,i�� ZIP: <br /> STATE LICENSE: # '��� EXPIRATION DATE: <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 re ui e MCWD review and permits ! <br /> PROPOSED WORK(describe i�i detain: ��� ����i�z�o�,-� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��� ��� <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�vork is not to start without a permit;and that the work���i ll be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: �� U� DATE: G �. � <br /> 3t <br />