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Total Fee: S 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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 5,26,10AC1W C7Gl� ZIP: S <br /> Will this bea rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is reqriired with Police Department and City Council approval <br /> GO dqvs prior-to the event. Shuttle bins service will be required unless applicant demonst•a«:.r <br /> sufficient on-site parking is available. PJorrperinitled events will not be allowed <br /> NAME OF OWNER: �Cd I\5crn !1� 1✓I '► PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: S2c)on.�ciwC,, P(,� CITY: ay'-')r10 ZIP: <br /> CONTRACTOR:�a�'L-- &A-6y l I��f S PHONE: <br /> CONTACT PERSON: e4,-4,In S?n^ MOBILE/PAGER: (p ! • �(v Z7 (�/ <br /> MAILING ADDRESS: 3�1 "�' e e CITY: ZIP: 9 -5 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: d n e ML ��� E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: —' �f REGI ION: # <br /> TYPE OF WORK-: New Home Addition Accessor r •e <br /> Move Home Remodel/Alteration (ie: Siding Window <br /> Any earth movemen may require MCWD r Nie permits ! <br /> PROPOSED WORI ( escribe in det r'I). By' Ve Vl- � DO✓.S v2 b�� <br /> �U <br /> STORIES: 2, SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S � <br /> I hereby apply for a building permit and I ackno,,vledge that the information above is complete and accurate; <br /> that the wort: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 /> APPLICANTS SIGNATURE: <br /> DATE. <br /> 31 <br />