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4 <br /> E <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 all inforrnation) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �S 8� �c�p�ct�d �c� ZIP: 553 Q� <br /> Will this be�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permid ds required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �o��, ��Q 1i 1�C�INI�G�� PHONE: (home)��'�F7/—�8c� <br /> -.r ' (work)�BC�-�1�� <br /> MAILING ADDRE5S: I��� c,�X�n.s�ooc� �c�CITY: ZIP: ,� <br /> CONTRACTOR: �1� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> A.RCHITECT/ENGINEER: �� S� PHONE: <br /> MAILING ADDRESS: �I 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 ORK(describe in detain: '� <br /> � � � � � me,� \ �e� c- � <br /> STORIES: � SQ.FEET OF EACH FLOOR:�� ��o��� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED� DETACHED O <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ $,c^� `— <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 or�inances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and�J not to without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � � DATE: � � <br /> 3] <br />