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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 all information) <br /> ------------------__------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: / � ,� p,� ��. ZIP: ����P <br /> Will this be a P rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �7fyes, 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 allowed. <br /> NAME OF OWNER: �A� 7� � (j�1 �'- PHONE: (home) �S �7� / �� � <br /> / Q � �� (work) <br /> MAILING ADDRESS:� l L� �jli� Dn ��TY: �l/vl'I O ZIP: � .3 <br /> � / <br /> CONTRACTOR: � �dr�,�/litL�/ � PHONE: �2� � � �� � <br /> CONTACT PERSON: ti/' pr 11hiQB�I,E/P ER: Cy yf�� <br /> MAILING ADDRESS: ��C [�rL�rY: ,� ,�' ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: c,rLl� ( O�i <br /> ARCHITECT/ENGINEE :�/���t,�-�eLh I�ll1 PHONE: (�/� 3�� �8 y`� <br /> MAILING DRESS: CITY: Z�S�� <br /> NAME: �� l�l5 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�: <br /> STORIES: � SQ.FEET OF EACH FLOOR: ����,� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 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 /> APPLICANT'S SIGNATU DATE: Z /Y � <br /> 31 <br />