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F <br /> Total Fee: $ ���"��� � `�� DateReceived: / . - �� ��' <br /> .....� _1=_--G__� --__ _ . <br /> Entered By: " ��'��'")�' Permit#: �'' � ,_;; �s ;" <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 infof�niation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (crrcle o��e) OWNER OR CONT CTOR <br /> JOB SITE ADDRESS: �� ������ ��'� �2'- ZIP: <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No [f yes, n special event per•mit is r�eqirired 1i�ifih Police Depard�rief�t and City Coirncil appr•oval <br /> 60 dcrys prior to the event. Shuttle Gzrs servtce will be reqaiired z�nless applicant clernonsb•ales <br /> suffzcient on-srte parking is available. Non-permiued events lvill not be allotived. <br /> NAME OF OWl�ER: _�C�� ����i� PI�10NE: (home) <br /> (wock) <br /> MAILING ADDR�SS: CITY: ZIP: <br /> co�T�ac�ro�: S�i� � �-�U/�5 � � PH�I`�E:�S� ��7,� �l�(� <br /> CONTACT PERSON: L.a�� / �Cz�i'� MOBILE/PAGER: �/}�}��, ��'� <br /> MAILINGADDRESS:��i ia o /f5�.��0� �����° CITY: i✓�y�tir; ZIP: � G <br /> �___ <br /> STATE LICENSE: # �U��� EXPIRATION DATE: � `� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVYE: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Sidi�lg, Windows) <br /> Any earth movement may require MC D review and permits ! <br /> FROF�;ED`dVORI�(�lescribe irt dc�tai/�: �G�,,,�� �F'Ue� ,�.'�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETAC�EU <br /> ]EST'IMAT'ED CONST'12UC'I'IOIV VALlJA`TIOI�1(excluding lared): � ���-�`�� <br /> I hereby apply for a building permit and 1 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 Buildine <br /> Code;that I understand this is not a permit and wor{:is not to start«itho�rt a permit;and that the�vork will be <br /> in accordance �vith the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �G�j�r�/DATE: ` l b � <br /> D� <br /> �� 1 r� D7 >> <br />