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� Lv� 3,�� <br /> �.� <br /> / � � �'�� <br /> Total Fee: $ �O��c�, � 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 O CONTRACTOR <br /> JOB SITE ADDRESS: ���� � S� ZIP: <br /> Will this be a Pa�ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event pe�-mit is reguired with Police Department and Ciry Council approval <br /> 60 days p��ior to the event. Shuttle bus service will be requi��ed unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � i`ta� (jlI�1 ���� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: $'�� � �� Y: �r w-U- ZIP: <br /> _ CONTRACTOR: a e � � PHONE: �����5�2 <br /> CONTACT PERSON: MOBILE/PAGER: �i '2_ Z S`o ?A�7 <br /> MAILING ADDRESS: '�'�/ .► ��..� �- CITY:�aO �� ZIP: ��'r�-{ <br /> STATE LICENSE: # � �! �' EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � �"��- ��� I 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 req ire MCWD review and permits ! <br /> PROPOSED WORK(describe in detuin: � �''�` J'V(e�c -�� r <br /> •- �S 1 •o-f-" <br /> STORIES: 2-- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> o• <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .s�'� d0/ <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 pennit and work is not to start without a permit;and that tlie work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � <br /> 31 <br />