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r <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> A❑ information must be submitted in full before plan review will be started. <br /> (please prirtt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> �__ .. <br /> _.__ <br /> t � � -- <br /> JOBSITEADDRESS: �� �(� /�� ��.�;l�'� �`j/�_;�✓,''' >L�',.'G� ZIP: J.% �5��� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS Q��1�0 If yes, a special event permit is reguired with Police Department and City Counci!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: �r��:( ��� � � r' ��:`' PHONE: (home) <br /> �� <br /> , �� (work) <br /> MAILING ADDRESS: r�-- J,�' Jl/.?:�.��� I�,.>,.�n l ��,-I CITY:._, ��'�i?v ZIP: � S .��lG <br /> CONTRACTOR: /:'�/S f�.� �„�,�Sr r {�c F ��n PHONE: �C�-_ ;� <br /> 3- �y -,>�' , � <br /> ,< < <br /> CONTACTPERSON: ,/t�(.�,�- /��,�,� ((� MOBILE/PAGER: = <br /> MAILING ADDRESS: ��i yS %;��k«<s�.�,,�l s1.S�d�°i�S CITY: /�J��� p;c�,;� ZIP: �S3S� <br /> STATE LICENSE: # 3d�� ? 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) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: %��,��_ � �-�. �4, �„v� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J J � ��� <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 confonnance 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 /> <�''�;' � �����. ��� <br /> APPLICANT'S SIGNATURE,: l�s� ..�;J�= %G�c- DATE: -J�t'�- /� — ���� <br /> 31 <br />