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� <br /> Total Fee: $ �:�f, �� Date Received: � �' Z�� � <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: � �y S S��,� L63� � �J 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 /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Z PHONE: (home) �/z- � g�s-- �/�2�l <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ���ij-�,��'Gn S�-, PHONE: 7� � -Z 7/- 7���3 <br /> CONTACT PERSON: �y�a,�,�-. MOBILE/PAGER: <br /> MAILING ADDRESS: �J 7�G t-u,( (�rv) �v r CITY: N���-� f�L r,l�o ZIP: S� � <br /> STATE LICENSE: # 20 l C� Z��s "� EXPIRATION DATE: 3 -31 - U7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hoine Addition Accessory Structure <br /> Move Home Reinodel/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 /> SGc: <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `3, <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 ardinances and codes of the City and with the State Building <br /> Code;that I understand tl�is 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: ' �-^ � DATE: g" � -Gla <br /> 31 <br />