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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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR, <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If 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 unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��i r �Gw PHONE: (home) 61Z <br /> MAILING ADDRESS: So /G��°t'-'� ov�Q CITY: �.,rdh (woZIP• SS3S� <br /> CONTRACTOR: G�vY�` /e .�fy✓� 2 PHONE: 763 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 2 0 CITY: nv, ZIP: Ssy�y <br /> STATE LICENSE: # Zo(, 7?9 73 o EXPIRATION DATE: `z „ F,62/,:,7 <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: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): J�e&of. f?c�;`d� iZe l�l�cc y ti��4t,)s � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3p o00 <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: d 712 <br /> 3 <br /> 31 <br />