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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 /> THE APPLICANT IS: (circle one) OWNER ORONTRACTOR <br /> JOB SITE ADDRESS: Z �5� �''� i ro��,� l� ZIP: _ 3 <br /> Will this.be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes DXO 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: / t7'0/>>er f. 11 V n PHONE: (home) <br /> _ (work) <br /> MAILING ADDRESS: �`�QS 4/ �C'i fv;s.n K� CITY: �v _� �t t ZIP: >' S' 3 S-G <br /> CONTRACTOR: lv v o 0 C PHONE: �r '7� 3 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILINGADDRESS: 03 CITY: S 1 ZIP: '00 J-S"// <br /> STATE LICENSE: # ;�0 5' j 5 I EXPIRATION DATE: 3 " 3 / <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): 5 e e- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / Z <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: U DATE: U <br /> 31 <br />