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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 a[l inforrriation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> _...,��. <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR� <br /> JOB SITE ADDRESS: (Q�j� �ra;�.. ���. N�. ZIP: �.�3 J(r(� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permil is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �v�t�aTe,e-. Lcw'Sv� PHONE: (home) <br /> Q (work) <br /> MAILING ADDRESS: _�J�j(� Dti^v�•�,� �1 . CITY: � �h �� � r, ZIP: SS3SCv <br /> CONTRACTOR: �`1S`t�=� C_�c�,-���vvc.\3-��.� PHONE: ��3 ��7`t �^70U <br /> CONTACTPERSON: C�,�,,, �,J.;,,��- MOBILE/PAGER: C.c/Z -3fc -�L�� <br /> MAILING ADDRESS: S �-IS` :���l�s�I,�,�� S� . '�G CITY: � �e Y�ct���, ZIP: S j S"`� <br /> STATE LICENSE: # '� 7 EXPIRATION DATE: '3 - ��� <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) L� <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: �� , �,�, <br /> STORIES: J- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (��� i�(� <br /> 1 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 ordinanees and eodes of the City and with the State Building <br /> Code;that I understand this is not a perm�t and wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan, � � <br /> 4 �....-..._....,._._................... <br /> APPLICANT'S SIGNATURE: � � �� DATE: �- `� C C <br /> ��--_.---- <br /> 31 <br />