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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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 2� �,9�e�+����/�� ZIP: S-S's_ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q 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: �, s PHONE: (home) 9.52 )3 1941� <br /> (work) <br /> MAILING ADDRESS: 2q-5fa CITY: 011o*z> ZIP: 553 ' 6 <br /> CONTRACTOR: ��c.�.v ��c 't PHONE: <br /> CONTACT PERSON: 455ate er-` MOBILE/PAGER: <br /> MAILING ADDRESS:' CITY:. ZIP: <br /> STATE LICENSE: #-2,p 1(9'92 ? 5- EXPIRATION DATE: m f <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 ay equire MCWD review and permits! <br /> PROPOSED WORK(describe in detail): 1 1 �m <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ��DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ T e'rpeq <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: Gy L DATE: /� m <br />