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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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTO <br /> JOB SITE ADDRESS: 7D �/� ZIP: <br /> Will this be kParade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes VjNo If yes, a special event pertnit 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: //72 �SG�j, /� /'� PHONE: (home)/�/o1 to/ j <br /> (work) <br /> MAILINGADDRESS: � 2/f ltjel CITY: ZIP: 55 3v- <br /> CONTRACTOR: PHONE: fp/ ?�- Selo <br /> CONTACT PERSON: . 17 OBILE/PAGER: <br /> MAILING ADDRESS:l�/�� �'/f%al2 A?) A CITYr�1./1�%/��i� ,f�IP: 535i/ <br /> STATE LICENSE: # & 57,E 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: Siding, Windows) \� <br /> Any earth movemen may r quilre MCWD eview 'd p rmit ! <br /> PR O ED WO (describe in detail): ��JI� <br /> r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 7j.�j; 1') 1,Ia� <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 />