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� - <br /> � <br />_ � ` �� � <br /> � <br /> . .- � ���� ��� <br /> A � Z � <br /> �'l;� `� <br /> , ; <br /> n/ <br /> Total Fee: $ ��(��„� DateReceived: ;` Z� �'` <br /> Entered By: �,�yrV�� Permit#: �l f�L��.� <br /> � <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 infor`rration) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APYLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> , <br /> JOB SITE ADDRESS: ��� � �'��/t,� �������- ����" ZIP: ��cS �C'I � ��i�ti--'�,' <br /> Will this b a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a special eve�7t permit is r�egzrired lvith Po/ice Deparhnent and Ciry Cozrncil approvnl <br /> 60 duys prior to the evei7t. Shuttle bars se�vice will be required unless applicant cien�onsb•utes <br /> sa fficient on-site parking is availnble. Non-per�mitted events will not be al/oived <br /> � + <br /> NAME OF O WNER: (� ��I�k,�1,��1� PHONE: (ho►ne) " -- j — ,��-3 Sl� <br /> p ( ork) <br /> MAILING ADDRESS:��-�� ���I c��i r �C�f 1L (�'( .CITY: 1 �> � ZIP: r'�"� -L''��� <br /> CONTRACTOR: � PHONE:. ��Z �-�(f)(S.�Z <br /> CONTACT PERSON: c ,r 1LC.l.�' 1r"1 t,�.. MOBILE�PAGER: � .�2 �7 � ~ � S-� <br /> MAILING ADDRESS: n Q � `i� `� S-�Y�'.�'-�'������C��'Y: � ' � ' '� ZIP:� � �I� <br /> STATE LICENSE: # L�'7�\ EXPIRATION DATE: (�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: Lh ZIP: <br /> NAME: REGISTRATION: # <br /> TYP� 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 /> PROP�OSED W�R�(describe in detai�: � -� ;, '- � (� j� <br /> � �� � � � � , <br /> �_ � t:' <br /> ; <br /> STORIES: Z. 5Q.F�ET OF�ACH FLOOR: <br /> NO. OF 13r:llROVIVIS: GAItAGE STALLS: ATTACHED DETACHED <br /> ESTIMATCD CONSTRUCTION VALUATION(excluding land): $ `�SD.��Q,�a <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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �'1, DATE: � � <br /> 3t <br />