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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 OR CONTRACTOR <br /> JOB SITE ADDRESS:04 0 f I L 1 V ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 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)V0)-_ 7 Lz / <br /> (work)41t( 6f -—6f 8— "7l S`► <br /> MAILING ADDRESS: 1/ S CITY: �-- ZIP: <br /> CONTRACTOR: /--t-tom F___kre/� (Q S PHONE:C(), -2 7(1 <br /> CONTACT PERSON: )cJ MOBILE/PAGER: <br /> MAILING ADDRESS: 75 Com( 1-6 CIT ( _ ZIP: -S-S-3 <br /> STATE LICENSE: # �-Z ,2 o 3) S 30-) 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(de ribe 'n detail): <br /> ziL. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 L 2 O ,, Uv <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 ordina --s and codes of the City and with the State Building <br /> Code;that I understand this is not a perm'.an. . net to start without a permit;and that the work will be <br /> in accordance with the approved pi/ , <br /> APPLICANT'S SIGNATURE: A DATE: ' /6 07 <br /> 31 <br />