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r � '�'otal 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: � `S g� � 7,Ip; <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 prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � ���Id PHONE (ho e)b� 5a�`�S�{p <br /> (work)�� l�' e�3-3�C <br /> MAILING ADDRESS: �SS� CITY: ZIP: <br /> CONTRACTOR: .S . c�Ti' PHONE:(D I Z �aoZ -/Sl y� <br /> CONTACT PERSON: �� T OBILE/P GER: / dZ 1 - / <br /> MAILING ADDRESS: ITY: ZI : �� <br /> STATE LICENSE: # ?_O E IRATION DATE: 3 � D <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 requ're MCWD review and permits! <br /> PROPOSED WORK(describe in detain: q�o� <br /> STORIES: t SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -r, 7��-'� • � <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 /> APPLICANT'S SIGNATURE: ��v�-cY ��Q�. ��.—B-ATE: � <br /> 31 <br />