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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) OWNER O ONTRACTOI�� <br /> �_----._._._.._ <br /> JOB SITE ADDRESS: ����� ���� ����� (���2 c %� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O If yes, a special even!permit is reguired with Police Department and City Council approva/ <br /> 60 days pr•ior lo the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficienl on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �`�v;� �2 ✓�� , �1� ;� PHONE: (home)/��d-��' i-�'�'�' y' <br /> (work) <br /> MAILINGADDRESS: 5��;� �Cz��l, /���.cic CITY: (��'�_��,�� ZIP: <br /> CONTRACTOR:�' /�S��,,�,- � �r s� r - ��1.��-� PHONE: 7c� � -4 7 r--�y 7 �V <br /> CONTACT PERSON: � : z ,.?;_ Sf��F�,,� MOBILE/PAGER: <br /> MAILING ADDRESS:� � ��l� � � �- <br /> �Y���<<..�>rr_,nl .. c, CITY:/���o�<< /�/��.�ZIP: �_���s <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame 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�: / �'o <. �� ��, /i.�, ��.,-� <br /> J <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � ���' <br /> ESTIMATFD 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 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 /> '� /' �- /� <br /> APPLICANT'S SIGNATURE:�� i ��.,, DATE: (/�,�, /O ��a7 <br /> 3t <br />