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� � <br /> Total Fee: $ DateReceived: �'' �v c� <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: �Ci�) '�j�Lj��,i�;' �� �_ZIP: .�5� ^ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No !f yes, a special event pernrit is��equired with Police Departrne��t and City Co2�nci(app��oval <br /> 60 days prior to the event. Shutt/e Gzrs sefvice tivill be reguired z�nless applicant clemonsb�ates <br /> sz fficient on-site parking is available. Non-pe��mitted events will not be alloived. <br /> NAME OF OWNER: Je�{Vt� ��v��"��_�� PHONE: (home) <br /> i <br /> (work) <br /> MAILING ADDRESS: c� Q,�,�l�,,, (�� /� CITY: ��p�'1/� ZIP:\����� <br /> � <br /> CONTRACTOR: /,�./`C`_ � l'1/%� /,'�J C PHONE: gS�_ ` � GI��S <br /> CONTACT PERSON: �,��� 5 c ff�=iv c�s'�� MOBILE/PAGER: <br /> MAILING ADDRESS: �Co���'s" ��Rcr� at-JG{' R� CITY:5�,��,c�c c.�� ZIP: �' " I <br /> STATE LICENSE: # �,�t �o��_�� EXPIRATION DATE: 3/_3; %�ooT <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 deta�n: ���1��,/��- � ���- <br /> �--�, ��r ,�5 ��1�-- � �.v�� s ��ec� ,^,�� <br /> N '�� T <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `�� �pp <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 per�nii.a��rk is not to start without a perinit;and that the work will be <br /> in accordance with the approved�lan. / <br /> � <br /> APPLICANT'S SIGNATU . DATE: � � ' <br /> 31 <br />