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� � <br /> a <br /> Total Fee: � Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BtTILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- —�._���� <br /> THE APPLICANT I�: (circle one) OWNER�R CONTRACTOR <br /> .. <br /> �___-- <br /> JOB SITE ADDRESS: _-��C:.�- `:�..��c����� �k.s� zlr: ���..��`��t \ <br /> , <br /> Will this be�arade 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 /> 60 days prror to the event. Shuttle bus servace will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Y" `Z �.�,� d���� PHONE: (home)��J1'�-��'�(OS� <br /> �- �work) �P l�•SO�' �P�`J� <br /> MAILING ADDRESS: ,� ��-�`'��`-�=�'`��-�CITY: ��L,���:; ZIP: ��S�pLI <br /> CONTRACTOR: �� (�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 niay require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: (�.�,�vl�t�- �'�����- <br /> STORIES: ,�-• SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � c��V <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 /> • � <br /> APPLICANT'S SIGNATURE: ;�{�_5 � DATE: v(Z. � <br />