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l <br /> 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 OR<ONTRACTOR <br /> JOB SITE ADDRESS: 23 2,5 WA+e�/2 f,ru., /2-C zip: 55 <br /> Will this be.a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> E:1 Yes � No 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: PHONE: (home) 1' <br /> (work)44 7 3- 2 <br /> MAILING ADDRESS: JJ CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: vp MOBILE/PAGER:b ia--T4-7- 3<< <br /> MAILING ADDRESS:(o S`c3 S- So SH t..P672S Tic A- CITY: Y'll ry; �ZIP: SS G Ll <br /> STATE LICENSE: # 5-3 v 1� EXPIRATION DATE: 3 --31 --� <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 ermits! <br /> PROPOSED WORK(describe in detail): Ck" fLAF-- S 147 7--P <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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 t to start without a permit;and that the work will be <br /> in accordance with the approved pl <br /> APPLICANT'S SIGNATURE: _ DATE: 1 f <br /> 31 <br />