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Total Fee: $ �o��•lG DateReceived: � <br /> Entered By: Permit#: p�Q —b D D <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 S J���+� ,�� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �1� If yes, a special event pe��mit 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 /> sufficient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: �oNn1��=��o�� � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��y( S � !r'o�S -�c� PHONE: 7(3 �l2,�'- G b o 3 <br /> CONTACT PERSON: A e a�.1 MOBILE/PAGER: ��Z 6 ti y� o Z3 6 <br /> MAILING ADDRESS: �130 � 7c� K �� N CITY: �.q�,� 6�.o,.r ZIP: ,S�',�6 g <br /> STATE LICENSE: # Zo3 d 7K� � EXPIRATION DATE: 3�,�/ o� <br /> ARCffiTECT/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) ��,c,;�� Cqra�� <br /> Any earth movement may require MCWD review and permits ! a��� <br /> PROPOSED WORK(describe in detuin: %',qf- o� �,� a,J q q�,¢4 r-' <br /> 2� • rov� , <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ L1ZB� .�, <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 permit and work is n start without a permit; d that the work will be <br /> in accordance with the approved plan. — <br /> '----„-- <br /> APPLICANT'S SIGNATURE: �� DATE: �� �� d � <br /> 3t <br />