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Total Fee: $ �(Q � ,1 � Date Received: // Cf <br /> Entered By: Permit#: ► 0 <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: �SL� ���;•,.�1�J �,�� � ZIP: ���� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS '�NO If yes, a special event permit is reguired with Police Department and City Council approva[ <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 alloived. <br /> NAME OF OWNER: Tp N� � M- v�F�RQL t� 6�-U'F�1 rHONE: (home) 2"' (,"o a I � <br /> (work) <br /> MaILiNG avv�ss: G5o B�o,1a►.� i�c� t�.� ciTY: d�r��+o zir: 5 35 <br /> ` j� , <br /> CONTRACTOR: l�U i �`'d0 uV � �aT ��.+��'> , :� � `; �'. PHONE: ���f�,:s �" �T���r�� � <br /> CONTACT PERSON: �,;�,� y�"?�;,u �`�-�� MOBILE/PAGER: � - 3 �� ��� <br /> MAILINGADDRESS:/O�''dp 1Nc�t' cr,t,-. s �k �_-��' �\V�CITY: , „ < ZIP: SS <br /> S T A T E L I C E N S E: # 0 7 O�f�'J+ O S y �X P I R A T I O N D A T E: `�' 3 �'1 c�8� `� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Siding, Windows) _� <br /> Any earth movement may require, MCWD review and permits! <br /> PROPOSED�W1ORK(describe in detai�: � � <br /> t,� c�b� ct.�,� m,�- -4tiw.. , , ���.._ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED_ <br /> �' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��r,E>d� <br /> I hereby apply for a building permit and I acknowledge that the infortnation 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 work is not to start without a permit;and that the work will be <br /> in accordance with the approved pl�yy.�-�--"""""'�� � <br /> APPLICANT'S SIGNATURE: .. ` ---�'�,,._ DATE: �Z �� <br /> 31 <br />