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c <br /> Total Fee: S 0 Date Receive4: <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: /7 E � 'G ZIP: ✓ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No Ifyes, 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 /> sr!fcient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: % i vt`S SZ :&w L 73 PHONE: (home) <br /> p (work) <br /> MAILING ADDRESS: 13�2011r1,7,e CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: BILE/PAGER: c " <br /> MAILING ADDRESS: �J1t t>2ITY: _ cm ZIP: <br /> STATE LICENSE: # /G cfy p E TION DAT <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 MCWT,� review and permits ! <br /> PROPOSED WO (d cribe in detain <br /> ��Lt 1 �� �'-�u�— n�•t-r, <br /> STORIES: / SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): C � <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 />