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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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> n <br /> I � <br /> JOB SITE ADDRESS: �I��--v �J�G� �j Si�f' �l( I ZIP: S S 3S C� <br /> Will this be a Pa -�de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O If yes, a special event permit is reguired with Police Department and Cily Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufftcient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: !{�, �' L � � � PHONE: (home) 7 S 7 � `J�,� �3 6 U� <br /> Q � �`� (work) (�,� Z '�i�'-1 -l��i c, <br /> MAILING ADDRESS: �(7�-u � f3�,�/��✓� ��CITY: Q✓�d�1C� ZIP: <br /> CONTRACTOR � ) (,��'� �'�C���IC �U✓��� ��� ��1�-"` 1 ��PHONE: �'J`�Z - �/)� -�(� 7G <br /> CONTACT PERSON: S;� �-r/�,� n.,�1�54 �� MOBILE/PAGER G, �7 -�y�-Z l� / <br /> MAILING ADDRESS: _�5 b,� ,�,�� 1 �� CITY: M���� ZIP: ���i <br /> STATE LICENSE: # ti�v�' 7��� EXPIRATION DATE: 3 U v� <br /> ARCHITECTPENGINEER: � 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 re ire MCWD review and pe mits! <br /> PROPOSED WORK(describe in detai�: —����- ���� --} �� 2v� j— �� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED . DETACHED <br /> /� G'� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): �`I�v� <br /> ;' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in confarmance 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 pennit;and that the work will be <br /> in accardance with the approved plan. , <br /> j�� .._ � �'� r � <br /> APPLICANT'S SIGNATURE: � ������ DATE: � ��� � <br /> 31 <br />