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� <br /> : <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 /> (p/ease print all informatior�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> �- - <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z�;�;(,! (`G�,c� I t- .,�� ZIP: �� ��1�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, a specia!event permit is reqi�ir•ed tivith Po/ice Depai•trr�ent and City Coa�ncil approval <br /> 60 days prior to the event. Shuttle bars service wi(l be regzrired unless applicant demonstrates <br /> sufficient on-sdte parlcing is available. Non-permitted events tivill not be allowed. <br /> NAME OF OWNER: �� �"1n� � PHONE: (home) �'��Z' ��l��l J <br /> `�) f1 (work) <br /> MAILINGADDRESS: ZG.��I� l�,'���v i�+ Yi� CITY: ���'�'✓�� ZIP: 553`1/ <br /> CONTRACTOR: � -��<'. PHONE: �b ��S�I�,-I�d� <br /> CONTACT PERSON: d ` ��� MOBILE/PAGER: 7 � -Z 54 �U'�9 � <br /> MAILING ADDRESS: ���S �J r� � CITY: ^c ��, L �� ZIP: �� <br /> STATE LICENSE: # j��j� EXPIRATION DATE:_���31 ,�D`7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home � eration 'e: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: ��,-�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT�CHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��i U�?(� <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�vork will be <br /> in accordance with the approved plan. <br /> �,, <br /> APPLICANT'SSIGNATURE: (����� ����� DATE: � JZ D <br /> 31 <br />