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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OW�1ER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���U JP��� �V I'� ZIP: S �I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'eS �i�10 If yes, a special eti�ent permit is reqzrired with Police Department and Ciry Counci!approval <br /> 60 days prior to the event. Shutt/e bzrs service will be regz�ired amless applicant demonstrates <br /> sufficient on-site parking is availa6le. Non-permitted events will not be allowed. <br /> NAVIE OF OWN'ER•.�4 t� l�Q-�JZ PHONE: (home) � - '"1��(� <br /> (work) <br /> Ma1LINc ann�ss: ��t�o S p�� ��� ciTY: �rz�,N� zlr: �'S �� l <br /> CONTRACTOR: �i�d.-uv�ow� {��+1r S i � �- � PHONE:��03`-Lf(�-ll o U <br /> CONTACT PERSO�t:�R-���J W lv za-�-� �TOBILE/PAGER: �t 2 � 2 3�6-(�5 ZZ <br /> MAILI�iG ADDRESS: 3�5� Vr���++� �,i Iv) Nf CITY:�►�►�ow��� ZIP: c�i 2 <br /> STATE LICENSE: # ZO 5 O 1�`g3 EXPIRATION DATE: '3'�i 1 —U� <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1VIAILING ADDRESS: CITY: ZIP: <br /> NA1�iE: 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�VORK(describeindetai�: �N5-n°►-l<<,N� �Z�j � ►J���- �y i� ,�a�-.: S <br /> Nu� �-r��� ���� � c�p�,N� S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDR001�iS: GARAGE STALLS: ATTACHED DETACHED <br /> ��� <br /> ESTIv7ATED CONSTRUCTION VALUATION(excluding land): $ Z� , Z�� � <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 1 � <br /> APPLICANT'S SIGNATURE: DATE: ' �� /� 6 <br /> 31 <br />