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Total 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 TRA R <br /> JOB SITE ADDRESS: I (' � ��� Zip; <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes '� No If yes, a specia!event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service widl be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �(�� � ���v� ���i,c.,�f�ec� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �G-w�c, CITY: ZIP: <br /> CONTRACTOR: ���<<��.�, �v.�.c��c-�[.�� PHONE: �5—Z �7 c q O to.T� <br /> CONTACT PERSON: _ �n��, MOBILE/PAGER: GJ� �7 � �Iv-��, <br /> MAILINGADDRESS: _2.(,► �� (3,� � (�l� �OI� CITY: S�,o�o�� ZIP: .S`�331 <br /> STATE LICENSE: # 7 0��,�e 3 t EXPIRATION DATE: 3—3 i—a3 <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�: �'-��;,,r— � �— rL,r po� <br /> �� �� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �� <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 ork 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: I� — � � -- O� <br /> 31 <br />