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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: ��(�U C U �� ((/ Z�p; „�,j�,��j <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S �NO Ifyes, a special event permit is required with Police Department and City Council approval <br /> 60 days pria�to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �� ��ph,5 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �'I_�(sjG' (,U �D Cr:•' CITY: �-�������P ZIP: �.S �3,�(,, <br /> /� � <br /> CONTRACTOR: �D C-G���t'1���'� PHONE: �.j.�(v����:,�'r � <br /> CONTACT PERSON: ;� '1M "�►� MOBILE/PAGER: .��> >=l��r�-jS�.� � <br /> MAILING ADDRESS: �(�7�? j'�?��� ,� " r CITY: j??c��^��ys? ZIP: ��� <br /> STATE LICENSE: # ��y,��� 7�� EXPIRATION DATE: �?DC�;°f� .�c7c�( <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 detui�: ��'�t"�F ��Q�?��Q��� ,;2�"�/b� <br /> af i%� 5by,h�.i2�� �.���Z <br /> _ � <br /> STORIES: .:? �t�'i�-.•.i SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: °�a+' GARAGE STALLS: ATTACHED ,� DETACHED_ <br /> �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ������` <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wi]1 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 wark will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �''�C ��i�/L��DATE: � .�� C�'�� <br /> 31 <br />