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.� �. <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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[information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �'33 7 Resf Po���r Ci,r�C� z�: �53� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO I.f'yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non perntitted events will not be allowed. <br /> NAME OF OWNER: l�o�er� 2c1 u h PHONE: (home)g��y 7a'•�6� <br /> �Wo�� �5 a-�ya.^�6o3 <br /> MAILINGADDRESS: �33� �eS�nD�'h.��i�'c.k'' CITY: ���in� ZIP: S�'� <br /> CONTRACTOR: (S c.,i�Fr� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 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 ire MCWD review and ermits! <br /> PROPOSEDWOR (describeindetai�: �2 y�o�� t�-2 �o�t.5-� ;.����� <br /> 1�e�✓ <br /> STORIES:� SQ.FEET OF EACH FLOOR: ``-' t� 0O <br /> NO. OF BEDROOMS:�_ GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /, �d� <br /> I hereby apply far 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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �� DATE: � � C�� <br /> 31 <br />