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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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O �CONTRACTO <br /> JOB SITE ADDRESS: �`��� � ` ��..� �� � ` <br /> _��:.� �,����r:'� ��� ZIP: `_���7 ) <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 priar to the event. Shuttle bus se�-vice will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permilted events will not be allowed. <br /> NAME OF OWNER: I,L I;� �L'��=x��—t- PHONE: (home) <br /> (work) (�12-Z7u -��,�) <br /> MAILINGADDRESS: (`T lZ �1,�,,,;�_, �l �� �},CITY: G�,,,� � ZIP: �,-s��`i� <br /> CONTRACTOR: f{-lls}� �-o.��'�c_{�,'c� PHONE: �(�,j-�(7��-�1vc� <br /> CONTACT PERSON: �',,�-�,, , �„�;,�,Iz.�.� MOBILE/PAGER: (,�,>�z 3t c �Z.(�z� <br /> MAILINGADDRESS: S'/c�� :-���;;,�C.,� t r��-- CITY: ' ' 'il,y,��, ZIP: S_S�'�;`r <br /> STATE LICENSE: # jZ�'7 EXPIRATION D, TE: � -��� <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 re�ire MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��', -��� . <br /> � <br /> STORIES: ; SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(exctuding land): $ �j�l (� �— <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wil] 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 permi��d work is not to start without a permit;and that the work will be <br /> in accordance with the a}�proved plan. ; . <br /> ---_ <br /> , �� � � � � , <br /> APPLICANT'S SIGNATURE: ' , = DATE: �" �=� � � <br /> , , <br /> 31 <br />