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�. <br /> � � <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: (cir�cle o�Te) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: Z� �U S�Y���� ZIP: <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �0 If yes, a speclal event permit is i�equrred�vith Police Depar•tnze�zt and City Coarncil approva! <br /> 60 days prior to the event. Shuttle bus service will be required t�nless applicant det�aonstrates <br /> sa fficient on-site parkir7g is available. Non pernaittecl events ti�vill not be alloweci. <br /> NAME OF OWNER: � % ��- J� m � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:�� I S��� I"�� CC�/�-S 7� . PHONE:�I S��-�l 7�- -6 S.3� <br /> CONTACT PERSON: {�'v� MOBILE/PAGER: (o�,�-Sb 7- 3 t 1 � <br /> MAILING ADDRES5:6S3s'" S, SN�,�,,��`,;2s �!��'� CITY:���.ti��.�s�-,� ZIP: ���/ <br /> STATE LICENSE: # S �c3�i 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) .G� <br /> Any earth movement may requir��,-MCWD review and permits ! <br /> PROPOSED WORK(descf�ibe in detai�: ���-� 5�f`�' Q ���;, �1'��—�-�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �U O ` <br /> � <br /> [hereby apply for a building pennit 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�vitll the State Building <br /> Code;that I understand this is not a permit and work's not to start without a permit;and that the work will be <br /> in accordance with the approved pl . <br /> APPLICANT'S SIGNATURE: � DATE: ��--7" 0 � <br /> 3I <br />