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Total Fee: $ DateReceived: <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 pf�int al!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> TH�APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE.ADDRESS: l��� C�1 /'�c� V� ZIP: <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No lf yes, a special event permit is reguired with Police Department and Ciry Counci!approval <br /> �L 60 dm�s prior•to t/ae event. Shutlle birs se�•vice will be required unless applicant dernoMstrates <br /> sn�cient a�-site par/cing is available. [Von pern�iued events tivill not be alloN�ed. <br /> NAME OF OWNER: KObe✓����ll� ,�Pi" PHONE: (home) ��Z-9d S'- 90(3 <br /> (work) <br /> MAILING ADDRESS: ���� C /�� �p CITY: �/�Or/D ZIP: <br /> CONTRACTOR: I`�o0'l' �I�?Dar1N /Vi4 . .Zdl� PHONE: 7�3- s�S'D-44�f<J <br /> CONTACT PERSON: �o� n �rry�r i�In MOBILE/PAGE : (p/Z- 2�-o9Z� <br /> MAILING ADDRESS: '7�C �a cv Pf �/'. CITY: /�P��v ZIP: <S"��90 <br /> STATE LICENSE: # Zo I 7 2153 EXPIRATION DATE: Z�0 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIl': <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 a permits! <br /> PROPOSED WORK(describe in detai�: %ea�-o� �/�sJ�/l NPv� �eo� <br /> STORIES: � SQ.FEET OF EACH FLOOR: • <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �9, B�- �� <br /> , <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork 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 pei•mit and�vork is not to start without a pennit;and that the work���ill be <br /> in accordance �vitll the approved plan. <br /> APPLICANT'S SIGNATU ( DATE: la�z D�v <br /> 3l <br />