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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 /> -- _._� <br /> THE APPLICANT IS: (circle one) OWNER O CONTRA ` <br /> 7 , : <br /> JOB SITE ADDRESS: �J �� � 1�'L� (/��, ZIP: ��35-�j <br /> m�� �af�e v�rr� 1srr�:�-- <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes ❑ NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required uhless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: _��f�(�;�C�,►NI {�i}Ji�5 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �� ��'(�/\j��'��/`�/ PHONE: �S� ✓(9���5 <br /> � <br /> CONTACT PERSO : ,�eb �ufr/►7aa,�/i MOBILE/PAGER: 7[�.3—`7�✓��—/5�S <br /> MAILING ADDRESS: ,��7 q WI�t�t� S-T—� CITY: �c��� /��c�,'a� ZIP: �� <br /> STATE LICENSE: # �f3t-/ ,�C�,�)7 ^ EXPIRATION DATE: ,�'jGCfi°� �1�iL�j <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�: ��u!'p r,C �x'�5��'ti� S;�e,h� ¢� �,Cal- <br /> ��n�3�s Re��a�e .5���� s,`ze w,'�►���s -� �a.vn�5 !�+-Dr S�"�aPs;�lu��Tv� <br /> STORIES: -S�<h�%�„q� SQ.FEET OF EACH FLOOR: �-2�' ���F�'��tily <br /> NO. OF BEDROOMS: `� GARAGE STALLS: ATTACHED ?� DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3g�`— <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: �� ��� �DATE: � � l� O�_ <br /> 31 <br />