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Total Fee: $ 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: � ) 4� C c, �v l� � G r�?J � <br /> �-i' �"�,c� ZIP: Sr.�� ? � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S � NO If yes, a special event pe��mil is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonsti•ates <br /> sufficient on-site parking is available. Non pernzitted events will not be allowed <br /> NAME OF OWNER: /"�/rt,0��. �C�.��i(,2p,.� J PHONE: (home) (,��a ' ���l- � -3�� <br /> (work) <br /> MAILING ADDRESS: :� 7 �l� L�!'���.2 �'� CITY: L� I"c::ti J ZIP: �~J 3 �1 / <br /> CONTRACTOR: �» �Q� <br /> � . �u n�� �.�;j' PHONE: ���-7 J�J _,3 c�.3 � <br /> CONTACT PERSON: � ,� MOBILE/PAGER: (�i -�a � - v '� <br /> .��-�� �:��, ��,�� - ��,Lz Lu ZIP: �3�j'� <br /> MAILING ADDRESS: "' CITY: �a <br /> STATE LICENSE: #_,� (� ( j J� 7 `] EXPIRATION DATE: <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 detai�: <br /> a� �' .� <br /> STORIES: _� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GAI2AGE STALLS: ATTACHED� DETACHED <br /> � . — <br /> J <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �(.,� � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 wark is not to start without a permit;and that the work will be <br /> in accordance with the approved plan.� � <br /> � ` � '/ <br /> APPLICANT'S SIGNATURE: �;� ���"�" DATE: <T I,,� a �V <br /> a <br /> I <br /> .i 1 <br />