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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: � 0 5 �✓a-car— jam'( _._....._ ZIP: -5—7 3 C% <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [ No Lf yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bits service will be rewired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: e ti !� �+ i r� 2 PHONE: (home) <br /> _ —� (work) <br /> MAILING ADDRESS: 7 0 3 `� C� c CITY: —cl1-v ZIP: <br /> CONTRACTOR: �� M �`r��"7 PHONE: y 7 <br /> CONTACT PERSON: MOBILE/PAGER: Lot ? —,- c 76c} 7 <br /> MAILING ADDRESS: y'f/�' L -� �-� r CITY: Sir < ZIP: y <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 aid 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): $ Zf Ly U <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: Z y c�' <br /> G <br /> 31 <br />