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Total Fee: $ ��8 �� 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 O CONTRACTOR <br /> JOB SITE ADDRESS: � 5 �'/-�/f�2Tr7�t,��/ A,J ZIP: -5 s3S'L-- <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YesNo 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 /> szzfficient on-site parking is available. tvon-permitted events will not be allowed. <br /> NAME OF OWNER: .�T���! Lk-) t L L 1 S PHONE: (home) <br /> (work) '0/"?-- 7 /7 <br /> MAILING ADDRESS: 34215 t//0X /' 1i22kit-CITY: ZIP: 5535 <br /> CONTRACTOR: �,Pfs/� � S PHONE: S/ L�lc� i3fi�i1 <br /> CONTACT PERSON: MOBILE/PAG)YR: <br /> MAILING ADDRESS: err i� - l•�.�.44A- �CITY:57-/-W't, ZIP: --5, <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): -?vyyn •�f�tn•� 'u'i�.�-� r� �'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S exW-— <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: A- <br /> 31 <br />