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' <br /> Total Fee: $ �O�- � �'''�' 7� g� Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review witl be started. . <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOBSITEADDRESS: I��J` ShQ�U W�� �(� ZIP: J5 ��� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No Ifyes, a special event permit is required with Police Department and City Council approval <br /> /� <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: C k � O��(�, ��I PHONE: (home) q�-��I'Q�J��J <br /> �Wo�� � - �-�'c�na <br /> MAILINGADDRESS: ��s Sh��,,IJUQa CITY: ��Yl() ZIP: � / <br /> CONTRACTOR: \n n i� � 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 require MCWD r view a permits! <br /> PROPOSED WO (descri¢e in det in:_(��►+1.p�Q�"Q YO('� �✓ � i..�i� <br /> he U V�o� ✓�!Q(l� <br /> STORIES: `I�C1✓� SQ.FEET OF EACH FLOOR: ��� SQ �'� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ����v <br /> / � <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 SIGNATURE: DATE: �� �Sl� <br /> 31 <br />