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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 O ONTRACTOR <br /> JOB SITE ADDRESS: a y !/ �(� w�, CR� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 5�No 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 /> sufficienton-siteparking is available. Non permitted events will not be allowed. 1 <br /> NAME OF OWNER: 4ay(1/YC D'Wl PHONE: (home) 12 <br /> (work) <br /> MAILING ADDRESS: w�.�CITY: ZIP: <br /> CONTRACTOR: �`�G v !� �L'!11Svh PHONE:•74 <br /> CONTACT PERSON: tt ' MOBILE/PAGER: <br /> MAILING ADDRESS: j +r*/V CITY: a ZIP: <br /> STATE LICENSE: # EXPIRATION DAT + : <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Additiou Accessory Structure <br /> Move Home o e lteration(ie: Siding,Windows) <br /> Any earth movement require MCWD review and permits! <br /> PROPOSRK(describe in detail): <br /> � y`ezG�f �G��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ df d <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 /> j <br /> APPLICANT'S SIGNATURE: 1DATE: —(tt <br /> 31 <br />