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. _: � <br /> Total Fee: $ Date Received: �� <br /> Entered By: ✓� Permit#: / 5 <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) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: _ �n� �„p�1 T�}��ZIP: S'S � � � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q�10 If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required undess applicant demorrstrates <br /> sufficient on-site parking is available. Non permitted events will noi be allowed. <br /> NAME OF OWNER: � PHONE: (home)6(�`3�3�.-74 c�, <br /> (work)9Sa '����s3Co� <br /> MAILING ADDRESS: �v ��,�,�� fU /a,,� CITY: d r�r� ZIP: �S��� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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 and permits! <br /> PROPOSED WORK(describe in detai�: ;d�.v� �a � � � Q 1��, <br /> �n v� �" .t-� �Co � w �'�� i �t z--�!s,'` v��c.�,�.��+-.�., <br /> STORIES: 1�S SQ.FEET OF EACH FLOOR: f�pc� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED DETACHED /�,��'� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `��C� °� - � �a��o�f <br /> I hereby apply for a building permit and I acknowledge that the mformation 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: � � 2--- DATE: � � S� <br /> 31 <br /> o�c � �ss •�-� <br />