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� � ,��� � <br /> �� � <br /> , <br /> ,�;, <br /> TotalFee: $ ����Z.�' DateReceived: -�'�� <br /> Entered By: ( ���� �y� 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: � � �j � ���,�IN t I� � � U�� , ZIP: J j��jC� � <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 requii•ed unless applicant demonstrates <br /> sufficient on-site pa�•king is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER:��rlC �. �,f('���I��(� b��Vf�U (c Zz� PHONE: (home) ���-ZS����Ya <br /> (work) <br /> MAILING ADDRESS: ���j `�y1�v�IZ� �f. CITY:���"��N Q ZIP: —���->�I� <br /> .� <br /> CONTRACTOR.J '�` � '� PHONE: ,"Z� UZC� �% <br /> CONTACT PERSON: ^ � � MOBILE/PAGER: <br /> MAILING ADDRESS: `� � L- � CITY: � a ' • �, ��ZIP: S 5�!� <br /> STATE LICENSE: # 7�� ��(R�k(�, EXPIRATION DATE: �� �/- ��8' <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 W ORK(describe irt detai�: ���{.���_�-��;� �L� -r'�f��i,� ��'c"� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> 1 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�,' '� � � <br /> I l�ereby 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 wark is not to st rt without a permit;and that the work will be <br /> in accordance with the approved plan.� <br /> �.,.� � <br /> �' ,. . <br /> APPLICANT'S SIGNATURE: ��� �i. DATE: ��J � 7 <br /> 31 <br />