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, � <br /> 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 inforrrtation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR C NTRA <br /> JOB SITE ADDRESS: �� � � �� -S i�'C.- �� ZIP: <br /> Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes NO If yes, a special event permit is reguired with Police Department and Ciry Council approva/ <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: _ ,���r1 � �-� 5 S � PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: S�^�^-e_- CITY: ZIP: <br /> CONTRACTOR: �-� �.. � •,�-c, �,,,{-,—,��, , .:_; PHONE: S Z - `-'( > (� `�C�l�7' <br /> CONTACT PERSON: 64���, MOBILE/PAGER: ��--( 3 >.3 �r� �� <br /> MAILING ADDRESS: c � 1 � �`- >�< ,_� 4 �?t��ITY: 5�.���,,�a,� ZIP: S-�'3�� <br /> STATE LICENSE: # z v; �,�.-;; , EXPIRATION DATE: s --- _� r - ��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 detai�: _ ����r- �C� �- r-�_��-�,, (� Uj s� <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S � u v <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 ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and ork 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: DATE: ( v - � ;`� - � � <br /> 31 <br />