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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 informnt�on) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR� <br /> JOB SITE ADDRESS: ��0� �5 c� � _ ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��10 /f yes, n specia!event permit is reqz�ired lvith Police Depnrtment and City Council appr•oval <br /> 60 days prior to the event. Shtdtle bus se�vice will be reqt�ired z�nless applicanl demonstrales <br /> suffteient on-si/e par-lcing is avniluble. Non-permitted evenis wi/1 not be a!lowec% <br /> NAME OF OWNER: ����� �;� 5 ��� PHONE: (home)`t5�- 4`1 i- 74�5 <br /> (work) <br /> MAILING ADDItESS: 3 7�>`t C�5 cr� � CITY:���,r�tio ZIP: <br /> CONTRACTOR: /4<�(��,-e5-1- ��� F. � PHONE: 7E 5- �=1z�- 9��G <br /> CONTACT PERSON: T�i e�es<< k-�f'� MOBILE/PAGER: <br /> MAILING ADDRESS: ��3 �c��e��r� �f�.��, CITY:��u !�� � ,�ZIP: :;��3�C, <br /> STATE LIC�NSE: # �c*-�r o�-7 7 EXPIRATION DATE: �-- �/^a�Z <br /> ARCHITECT/ENGTN��R: PHONE: <br /> MQ�r.rNG AnnuFSS: CiTv; ZIQ: <br /> NAM�: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move I-Iome Remodel/Alteration (ie: Siding, Windows) �-� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK lescribe in detain: �1��; �;-�-� `a- �c%-tz�� � � �_ �Q <br /> �� -,X- •^_� ��( 1 <br /> STORIES: SQ.FEET OF�ACH FLOOI2: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATTACH�D DETACH�D <br /> <�, <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �66— <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[understand this is not a permit and work is not to start without a permit;and that the work wilf be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �;� --- DATL: Q-S-�� <br /> 3t <br />