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w <br /> Total Fee: $ tL0- �� 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 �CONTR�ACO <br /> JOB SITE ADDRESS: 7q5 ZIP: <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes kNo 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-permd. <br /> Non-permitted events will not be allowed <br /> NAMEOF OWNER: _{;>>lt t C_0- 1'e_7�t PHONE: (home) <br /> MAILING ADDRESS: 714 ' xf� W/l F�9' CITY: (woZIP: <br /> CONTRACTOR: h) Iy_C PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS:q?,7rGqz l�/���( CITY: ZIP: <br /> STATE LICENSE: # 2-01go �6EXPIRATION DATE: Z-4G 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 ;equire MCW review and permits! <br /> PROPOSED WORK(describe in detail): i <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> 6& <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -7,'5Gz <br /> I hereby apply for a building permit and I acknowledge that the in orrnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and c des of the City and with the State Building <br /> Code;that[understand this is not a permit and work not to s rt� ithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />