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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 /> (plense pYint all iriforrnntion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO�R <br /> JOB SITE ADDRESS: ) o� S IP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specra!event perrnit is r•equired with Police Department and City Coarncil approva! <br /> 60 days prior to the event. Shuttle bus service will be requir�ed zrnless appdicant der�7onstrates <br /> si fficient on-site parking is available. �ti'on-perinitted events lvill not be allowed. <br /> NAME OF OWNER: ��I' 'ws�'�1/�— PHONE: (home) �5� 5 `�� � ?� � <br /> (work) <br /> MAILING ADDRESS: f `� � � "' ITY: ��,�(,a�� ZIP: <br /> CONTRACTOR: � � PHONE: Q 5�, g3 5 455� <br /> CONTACT PERSON: ' �BILE/P GE : !�L� �.$� �f(e 3 ( <br /> MAILING ADDRESS: 0 ITY: ZIP: <br /> STATE LICENSE: # q � (�, EXPIRATION D TE: . <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAltecation (ie: Siding, Windows) <br /> Any earth movement may require CWD revi w and permits ! <br /> PROPOSED WORK(desct�ibe i�t detain: ��� � <br /> STORIES: k SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED <br /> vU <br /> ESTIMATED CONSTRUCTION VALUATION(excluding landj: � �3 ��, <br /> I hereby apply for a building permit and I acknowledge that the information above is comp(ete 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�vork is not to start�vithout a permit;and that the work�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �n — �� � 7 <br /> >> <br />