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e - <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) O�NOR CONTRACTOR <br /> JOB SITE ADDRESS: 3/e5- 'l e,C- //' ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 'Q No /f yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required tmless applicant demonstrates <br /> st fficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: & xo �19 c9 i PHONE: (home)i�- VI-3- 65-:� <br /> (work)f�- y 7i_<j'9_7E <br /> 01 <br /> MAILING ADDRESS: 31f05- /7S( 4u, /fJ CITY:Z, A ZIP: :f- 35--6 <br /> CONTRACTOR: PHONE: /5,2-1/75-c_:-s/ CO <br /> CONTACT PERSON: MOBILE/PAGER: 7S 7S <br /> MAILING ADDRESS: CITY: <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: S ,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 66 <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: <br /> 31 <br />