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Total Fee: $ �� � Date Received•� <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMI�P� CA�ONO <br /> All information must be submitted in full before ptan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � /�,� ^5� 7IP: ��� � <br /> JOB SITE ADDRESS: �'`� �._S��!���,� � <br /> Will this be a arade 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 will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be aldowed. <br /> r�o�v.� ���rd� <br /> NAME OF OWNER: ��,�yD J ,�,li�— � PHONE: (home)-�l',�_--¢7oZ-�Sal� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR�jiVl�',t,,[�5, ��•vs�'�2 i ro� /.U�pHONE: ' <br /> CONTACT PERSON: f}l1C �'c�.c��c�E'�! MOBILE/PAGER: G-,�2-�1�-2Fs�� <br /> MAILING ADDRESS: 1��'oj� /�,�A�' iCJ. CITY:c�!'it.�,a7�ZIP: v��5 O�2 <br /> STATE LICENSE: # �a,S` � EXPIRATION DATE: �� �3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Ho Remodel/Alteration (ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED.3 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 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: ATE: � �-l--z—c�f1 <br /> 31 <br />