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� <br /> i ' <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 OR CONTRACTOR <br /> JOB SiTE ADD�SS: ��1 � c� ��� i��L:� ;�2� ��-���; l�r� ZiP: S� �j-. <br /> � <br /> Will this be a P�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �] �TO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days p�-ior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed <br /> / . � <br /> NAME OF OWNER: �� '�' ��/ w �/ ���✓[ ���r� � PAONE: (home) <br /> �,,y� (work) <br /> MAILING ADDRESS: � �G��� �C%� ��� `��' ��"``cITY: ��`ri� �4'�� ZIP: ��� 5 � <br /> . <br /> CONTRACTOR: �IIS�'� ����15 jr��� i i� v'\ PHONE: �`� �`�'% �l'c.> <br /> CONTACT PERSON: Ja? (-Ik(51��! MOBILE/PAG�R: <br /> MAILING ADDRESS: S�l.� 16tc���tria( S1, �,.�/c /�> CITY: /�1/f n�: �N� ZIP: �r 5�� <br /> STATE LICENSE: # ��I/`7 EXPIRATION DATE: <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 a�d permits! <br /> PROPOSED WORK(describe in detai�: ��'�/ v��� `���r�,� �j� -� C z- R��`� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <br /> � �� ��� <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'S SIGNATURE: ����`l"' � ��`�/ `l—� � C'/ <br /> DATE: <br /> 31 <br />