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• � �_ o � <br /> � <br /> Total Fee: $ 5�• 3 Date Received: �- /p—Q� <br /> Entered By: Permit#: �q�g_ ���, <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prdnt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) WNER OR ON RACT R <br /> JOB SITE ADDRESS: � ; �,/' (� <br /> Wi(1 this be P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o If yes, 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,f,j`'icient on-site par `g is available. No permitted events will not be allowed. <br /> NAME OF OWNER: C U I � 11 PHONE: (home) <br /> . (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: h e �I� �U( lJ 'S PHONE: <br /> CONTACT PERSON: C MOBILE/PAGER: <br /> MAILING ADDRESS: 1,�f S CITY: ��9(l 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 re ire MCWD revie �and permits! <br /> PROPO�S D WORK(describe in detai�: /� � <br /> 1 Q <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 permi d ork 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: �� � <br /> � <br /> 31 <br />