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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 infoYmation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � `3� � � ?U�c.� )c �f� �J ZIP: <br /> Will this be Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO 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 /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> _/' <br /> NAME OF OWNER ,) ��'"� t � ��JS r PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 3° �� r��� y ��, � CITY: (� ���� ZIP: <br /> � . . <br /> CONTRACTOR: .�1 v��� � �,��.t,�-;���s�-�" PHONE: �s L `��� y d��� <br /> CONTACT PERSON: �„ �„ MOBILE/PAGER: �,,j� ��� �o�� <br /> MAILING ADDRESS: �� ,�,;�s /�i�F� k',l CITY: 5���r�w�Y-� ZIP: ,'�s� <br /> STATE LICENSE: # 7Jt C,�,�;r EXPIRATION DATE: �- 5 c - �;', <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 ay require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: ��z.cr— � 6�-�- +- ,r'c��-��- 7� S � <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � v v <br /> I hereby apply for a building pennit 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 a work is not to start without a permit;and that tlle work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: / \ DATE: 1 � --( c�- U ? <br /> 31 <br />