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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 all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: J Z z S �A Y.S�`�� �� ZIP: <br /> Will this be a Par of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 1�j� ��t � �d �v—, PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: (a�4 �i��e!►`an ��. PHONE: �o/L 6`�4 r �Z-1' L <br /> CONTACT PERSON: ,2e�J MOBILE/PAGER: <br /> MAILING ADDRESS: Z62 t X<<tx s'.r �, n� CITY: P��S�.'�s-�1G ZIP: �t'�C Z <br /> STATE LICENSE: # Zc�3c�' 7�tS`( EXPIRATION DATE: �-f 3n� /d 7 <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 detai�: ��i.�.r - o� /' !�� - r2,a <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� ,�" <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wi11 be in confor�nance with the ordinances and codes of the City and witl�the State Building <br /> Code;that I understand this is not a permit and work is not ' �out a ;�and that the work will be <br /> in accordance with the approved plan. , <br /> APPLICANT'S SIGNATURE: DATE: � �s �C ' � <br /> 31 <br />