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� <br /> 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 /> -- _-�� <br /> THE APPLICANT IS: (circle one) ��:][�OR CONTRACTOR <br /> JOB SITE ADDRESS: �-�ZZ�� ���Yt°`jfi L��� I�v � ZIP: »�lo `I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � �TO !f yes, a specia!event per��rit is reqirir•ed ivith Police Department and City Cotrf�cil approvnl <br /> 60 days�rioi•to tl7e eve��t. Shuttle bzrs ser•vice tivi!!be required im/ess applicar�t clemonstrates <br /> siG�cient on-site parking is m�ailable. Non-pernritted events��vi!!not be allowed. <br /> NAME OF OWNER: C,`;�14�%<���/1 l\V V�� D l/517� PHONE: (home)� L-�7Z`�7� <br /> (work)(r 1 Z��l��(-�(G( <br /> MAILING ADDRESS: '��� �'(�7Y�j� � .�L 1�v CITY: O�����;D ZIP: �'�p� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 WQRK(describe in detai�: i� ` � C.�/� �. =-3 �.�,�:. f <br /> 1 C y ' ,., ,�,.��i°' ' ',- � �, „-�.S�. . `CG', .,:�, .�. r' y ��+� � <br /> �. � ��(�� <br /> STORIES: � �L SQ.FEET OF EACH FLOOR: Z�OC� <br /> NO. OF BEDROOMS: `1 GARAGE STALLS: ATTACHED� DETACHED_ <br /> , . <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � � I�j,(`�C�� � <br /> I hereby apply for a buildin;permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the�i�ork will be in conformance �vith the ordinances and codes of the City and with the State Bui(ding <br /> Code; that[ understand this is not a permit and work is not to start without a permit;and that the��-ork�vill be <br /> in accordance with the approved plan. <br /> w �1 �.�1 DATE: �- <br /> APPLICANT'S SIGNATUR�: � � � l ��� <br /> 3t • <br />