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�I <br /> Total Fee: $ 36�I Date Received: d <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 1. ) y O h 1(A e- ZIP: S5 3 5 C - <br /> Will this be grade of Homes,Remodelers Showcase Home or other Display Home? <br /> ElYes 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: _C 1��(-1'S �� �'eS e`\ PHONE: (home)6)a S64'9 g A <br /> (work) <br /> MAILING ADDRESS: 1140 -ro�,"r ki r e f>-b CITY: A±�D 1 ai vt ZIP: :65-1 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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 movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): �[g -� 4 I lbo 1) S k c e4 [��.,crc�c <br /> �lir <br /> STORIES: l SQ.FEET OF EACH FLOOR: -U? F) <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ©_ 94'° <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 ordin ces and c es of the City and with the State Building <br /> Code;that I understand this is not a permit and wo is not t art ithout a permit;and that the work will be <br /> in accordance with the approved pl <br /> APPLICANT'S SIGNATU DATE: <br /> 31 <br />