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�►tal 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 pj•int all informatio�2) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH�APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: l�C�� ,��Ol�U,D� -1��_ZIP: <br /> Will this be I'arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a specia/event permit is reqz�irec!with Police Deparlment arzd Cily Council a�proval <br /> 60 dcrvs p��ia•to the event. Shutdfe bus service will be requi��ed unfess applicant demonstr•ates <br /> sa�cient on-site parking is available. t\ron-per�rrittec�events tivill not be allowed. <br /> NAME OF OWNER: ��/�I�� ���� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: G��D ��c�G-d/U� .� CITY: � C� ZIP: <br /> CONTRACTOR:��S ����L/U f� PHONE: 6/Z ZZS��o l� <br /> CONTACT PERSON: ��,�n� �S� MOBILE/PAGER: S/�-t,t�,.�,�- <br /> MAILINGADDRESS:/�cgi S�ua,��2 �,2 CITY: j,�l,4c�N�a ZIP: �,T-�7 <br /> STATE LICENSE: #20�/3�U�--f2- EXPIRATION DATE: 5— 3 � - v� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRA,TION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Altecation (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and perm s! <br /> PROPOSED WORK(deseribe in cletc�i�:���� a N� c�.�2n v�� <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): �/G Uv� -�' <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance�vith the ordinances and codes of the City and with the State Buildin� <br /> Code;that I understand this is not a permit and�vork is not to start without a permit;and that the work�vill be <br /> in accordance�vith the approved plan. <br /> APPLICANT'S SIGNATUI2E: DATE: �C� -- — U� <br /> 3l <br />