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�' <br /> � � " U G� <br /> ` Total Fee: $ -'�� � S � DateReceived: G �! <br /> Entered By: Permit#: �,✓���/�j�/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (�ilease pri�zt all iyzfor�natiori) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cii�cle one) OWNER OR TRACTOR <br /> JOB SITC AllDRESS: ��� �� ���� �� ZIP: <br /> Will this be a rade of Homes, Remodelers Showcase Home or orher Display Home? <br /> ❑ yCs ��TO If yes, a special event perrnit is re�uirec!tivith Police Depar7nrent arzd Ci1}%Council npprova/ <br /> 60 days pria•to tl�e ei-ef�t. Shiittle bz�s service wi/!be i•eqzrired u.ivrless app[icant demonstrates <br /> sarfficient az-site par/cisag is available. Non-permitted events lvil!not be allotived. <br /> NAME OI'OWN�R: ,�U1j,-� ����l�--� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �—�C����L� ��7�.r��s'� PHONE: ���-.����-yv�� <br /> CONTACT PERSON: �OBILE/P�GER: <br /> MAILING ADDRESS: o2F)�?; �,�.�, ,��,��,� CITYS�C�{�,r�zt� ZIP: �v-��'���� <br /> STATE LICENSE: # �rS> ��}��J EXPIRATION DATE: G�? <br /> ARCHITECT/ENGINEER: PHON�: <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 requ�re MCWD review and permits ! <br /> �T.aQ'pOS�T�����(fl�scr�ibe dta detsa�l;: ,�-� _ .S�L� �1�'��4 <br /> STORIES: SQ.FE�T OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACIiC�J <br /> ESTIIVIATEI)CONSTRUCTION VALUATION(excluding land): � ���� <br /> I hereby apply for a building permit and I ackno�a�ledge that the information above is complete and accurate; <br /> that the work�ill be in confonnance with the ord'nances nd codes of the City and�vith the State Building <br /> Code;that I understand this is not a permit and w •k is� t o start �ithout a permit;ai�d that the work will be <br /> in accordance with the approved plan. <br /> AI'PLICANT'S SIGNATURF,: DATE: � C� "�`�� <br /> 31 <br />