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, . . <br /> 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 /> /------.� <br /> THE APPLICANT IS: (circle one) 4. OWNE�OR CONTRACTOR <br /> � �' �� � � � <br /> JOB SITE ADDRESS: � �� � `�'� ��f' S � � �� ! i�-ZIP: `� ' -� � <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��O If yes, a special event permit 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 /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> � „� ., <br /> NAME OF OWNER: J�`i I �% ", "'��7 ;L 1����� � pHONE• (home)�%��� �': � , - � % s T <br /> � ` ji ��:_ -�; �- �%O��a�� f <br /> MAILING ADDRESS: � ���� —�� ��S C J CITY: ���li� ��'�_,�r;�?�- ZIP: �`� �`^/ <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: � MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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 movemen may require MCWD_ review ax�d }�ermits! <br /> PROPOSED WORK(describe in detain: �'�� ,��U� ��;�1 '%i�, �`I ��� � %:� I��;�,.� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTI�N VALUATIO�N(excluding land): $ � , � a �',- �/ (� <br /> ���,�: n�c' �..�S ��h-r {��-��c'�'�;v�P �; '�l�. � -�' �--����_ � .,�,t �f� .�- <br /> I hereby apply far a building permit and I acknowledge that the information above is complet�nd 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 not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> c--._ <br /> � � ��,, A�� � J •. � <br /> APPLICANT'S SIGNATU �� � � � ` � DATE: � `� � �� � �J � <br /> 31 <br />