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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 pri�zt all infoYm�rtio��) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ` �1� �� C'/'--s"r u �.'°i%f'� r ZIP: __ .`.;. �,r, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO Ifyes, a special event permil is r•eqa�ir•ed ivith Police Departn�:ent and City Cotrncil appr•oval <br /> GO days prior to the event. Slnittle bus service ivil!be requared unfess app/icant demor�strntes <br /> sz��cient of�-slte parkirtg zs available. IVaa-per•iriitted evenls i�vill not be allotived. <br /> .— r; ;;-,,' '�'.i a k <br /> NAME OF OWNER: �'�-.; ,�"c�'��'•�''� �t: PHONE: (home) �� c <br /> ,--�- (work) �'!� - �, :�/'�'o <br /> .., <br /> MAILING ADllRESS. � .- .. .,., � -,, r CITY <-:;,..,�.�,�, ZIP: ...... l, , <br /> CONTRACTOR: , ,`"•/D w�.-?/L PHONE: � '�- � -- ��.:�/ <br /> CONTACT PERSON: �:^ MOBILE/PAGER: `' <br /> MAILING ADDRESS: /,% �� �^" �� ���'%� r.�- � CITY: s< �` ZIP: _ ' � <br /> STATE LICENSE: # EXPIRATI N 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 /> PROPO5ED WORK(rlescribe in detain: !' �� ..5� %f, .... <_' _>. . , r. L. -_•...' :-;� �;� ��A:,.,-� -�-/ <br /> _ . . <br /> . , : . . ... - ,, <br /> t c �. ���::�., j,.,..�, a< fia/. . . ��.: '` . / ft-�_L-l-,._, <br /> �! � � ��r' - � �f" . � <br /> STORIES: SQ.F�ET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHE� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � � `�' ` � <br /> I hereby apply for a buildin�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 tmderstand this is not a permit and work is not to start without a permit;and that the work��ill be <br /> in accordance with the approved plan. <br /> ,. <br /> APYLICANT'S SIGNATURE; �--=-f'`�,� � �.____ DATE: � �-� �'� <br /> r <br /> i l <br /> /` <br /> 31 <br />