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Total Fee: $ �1 J�—• ! n� \ Date Received: //-/Y D 7 <br /> Entered By: M Permit#: ,4// "/' 7!2 <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) OWN R OI�ONTRACTOR <br /> JOB SITE ADDRESS: !J WC/ ; KJ/` ZIP: <br /> Will this be A Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> El Yes <br /> �V o 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: i /((I M PHONE: (home) <br /> MAILING ADDRESS: ��� I�✓<l a l f/ /r CITY: ! n (w-ZIP: <br /> CONTRACTOR: d I Irl° PHONE: <br /> CONTACT PERSON: OBILE/PAGER: <br /> MAILING ADDRESS: CITY: /t o ZIP: <br /> STATE LICENSE: # XPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition _ Accessory StructurK <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <br /> s� <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 ork is not t start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: TE: <br /> 31 <br />