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Total Fee: $ ��s(� Date Received: �- (� ��] <br /> Entered B � <br /> y: _(���'p��'�� 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: � � �� �,4���,✓� �ZIP: <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 reguired 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�cient on-site parking is available. Non permitled events will not be allowed. <br /> NAME OF OWNER: `,�/c.'UC/ �' �n� c� `L PHONE: (home)9S Z y7 Z' S'/o y <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �(�C iG/ l.�c.����-5 Z-.v L� PHONE: � �� "l"�`/`���? <br /> CONTACTPERSON: "i�t:�� MOBILE/PAGER: <br /> MAILING ADDRESS: %S/` /y � �;,-��� CITY: s;lv,-C.��� ZIP: '�S s 3� / <br /> STATE LICENSE: # Z O f� Z � 7 3 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 require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �����,� <br /> 1 <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 ofthe 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 wark will be <br /> in accordance with the approved plan. /�' <br /> ij <br /> APPLICANT'S SIGNATURE: ���� <br /> /� G� DATE: r( l�0 2�`" 7 <br /> � <br /> � 31 <br />