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Total Fee: $ Date Received: <br /> En�ered 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 O ONTRACTO <br /> JOB SITE ADDRESS: � � � � �� 5 � o ,`!�c 1 ZIP: <br /> Will this be�a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS /U[J No If yes, a special event permit is reguired with Police Department and City Council approval <br /> �l�� 60 days prior to the event. Shuttle bus service will be r•eguii�ed unless applicant demonstrates <br /> sufficient on-site par-king is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER l�( ���, � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �, �Z� 7 ��s<<, C�'�� I.� CITY: ZIP: <br /> CONTRACTOR: >� -I��n� 5 c-'� ��-�2-�-e v., i c�� PHONE: �> �—�/�-U I D� <br /> CONTACT PERSON: ���� �v�f�c�.-����, MOBILE/PAGER: , � - j( � <br /> MAILINGADDRESS: �"7y� {�'e�s.e;� �Q�, CITY: �L,o�� �., ��r ZIP: ��3 / <br /> STATE LICENSE: # �n 2 �� g'_�S- 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 I�ome Remodel/Alteration (ie: Siding, Windows) `� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ���1 r r���� �,�.,1� � -,���-� �s ,'�-�� <br /> c� 5 n �,t.�/� 5 � ���� ��t S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �3 v p <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: DATE: I U'��' — U 7 <br /> 31 <br />