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. <br /> ' 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 O ONTRACTOR <br /> JOB SITE ADDRESS: -7 a 5 Cov t-�-�-i �� 6. ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO Ifyes, a special event permit is required with Police Department and City Council approva! <br /> 60 days prior to the event. Shuttle bus service wil!be reguired unless applicant demonstrates <br /> suff cient on-site par•king is available. Non permitted events widl not be allowed. <br /> NAME OF OWNER: Sp�;�-2 l-��'(t �o!-� C!�� PHONE: (h e) 4 76� �¢g�7� <br /> �' (work) <br /> MAILING ADDRESS: `7�5 c�,,,,,��,., (� G. CITY: o�`�r� ZIP: <br /> CONTRACTOR: /�-i.�w�s�- r�o�.'r�t PHONE: Z c 3• 4 2�-�64c <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILINGADDRESS: 3%3 �sa.� 1�f�wy CITY: �� �.�.�/ ZIP: �_ <br /> STATE LICENSE: # �-«>i o��� EXPIRATION DA E: 3� 3(-�7 <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) r/ <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain• 1� � � 4 G� rocr� � �. �� <br /> �� 5� � ? 5� 1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ✓DETACHED ,/ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 T��� <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'SSIGNATURE: DATE: S' 4�� <br /> 31 <br />