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Total Fee: $ ��0 •S� g/ �g/� <br /> Date Recerved: <br /> Entered By: Permit#: o� 8= j�/ T <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. � <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �J�� ��{f 1� �Q��'^� ��� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �Zv-L ��/� -J PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /3�0 /��..s� �,r¢ C,�'CITY: ����� ZIP: <br /> CONTRACTOR: �Sl� l�� E'7`�-✓�,��fs PHONE: ��3_S-�y.�s-3 i <br /> CONTACT PERSON: -e✓►n<') C'z�"�s�.� MOBILE/PAGER: <br /> MAILING ADDRESS: /7�,o( �o r.� y0/ /�/ CITY: /^���c G-/,�..� ZIP: S'3'? /r <br /> STATE LICENSE: # �o a. f S'�C g o EXPIRATION DATE: O � <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 require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �{t��a� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �� <br /> ESTIMATED CONSTRI;TCTION VALUATION(excluding land): $ ,�v�� � <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 work is not to start without a permit;and that the work will be <br /> in accordance with the approued plan. <br /> APPLICANT'S SIGNATURE: �� �— DATE: �'��'a� <br /> 31 ' <br />