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� <br /> � <br /> : Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO-BUII.DING PERNIIT APPLICATION <br /> All information must be submitted in full before ptan review will be started. <br /> (please print all information) _ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��'��.5 C�/l,/,� ��,�'z�: �5.�9'/ <br /> Will this 6e a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑YCs ❑NO If yes,a specia!event permit is required with Police Depcmment a»d City Courtcel approvat <br /> 60 days prior to the evem. Shuttle bus service wi11 be required unless applicant deraorrstrates <br /> su�ciem on-site parki�is available. Non-permiued everits will not be alloweci <br /> NAME 4F OWNER: ��l/� L/`7�//��0,/I� PHONE: (home) 9.5�-y7l q/�Z <br /> (work) 9SZ-Gl7/-ZZ/c� <br /> MAILING ADDRESS:3�6-s S'.f�.��/� /1ie CITY: �?��ZIP: Ss"3�'/ <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 /> �� ��o� <br /> TYPE OF WORK: New Home ���� dition Accessory Struc#ure <br /> Move Home RemodeVAlteration(ie:Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WOItK(describe in detai�. �L/�G4G� �'A�F <br /> STORIES: ` �� SQ.FEET OF EACH FLOOR: � 6 � <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(ezclnding land); $ �� Q�0�- <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: �/-30"�� <br /> 31 <br />