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'i'otal�Fee: $ Date Received: <br /> "Ente��ed By: Permit#: <br /> CITY OF ORONO - SUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all itifof��nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTR.ACTOR 1 <br /> JOB SIT�ADDItESS: �� � � J �i-�C� � l ZIP�J <br /> Will this be arade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event perrnit is reqadred rvitl�Police Depnrtmenl and Cily Cotn7cil npprovnl <br /> GO cfays pr�ior•to 1/�e eveilt. Shuttle ba�s ser>>ice rvill be requir�ed t,u7less applicalTt dernaasU•ales <br /> sa�cie�7t on-site parking is m�ailable. 1Von-pern�ittec�evenls will not be allotived. <br /> NAME OF OWNER: �C`1S� `71!�-'���1 PHONE: (home) <br /> (�vorlc) _ <br /> MAILI�TG ADDItESS: CITY: ZIP: <br /> CONTRACTOR: ��lCi�r�, E��-� �t,�� PHONE: � C,�- 9���� <br /> CONTACT P�RSON: . J�Jh� _ MOBILE/PAGER: ���> 5PJ—d�.�) ?L <br /> MAILINGADDRESS::�)7.>' �-��� i�?l� �-t CITY: _�,c�.�,�;,� ZIP: ,L�S=3�� <br /> STATE LICEI�ISE: # ,-��,'�5��'�d�� EYPIRATION DATE: CJ�_ <br /> ARCHITECT/E\'GINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Sidiiig, Windo�vs) <br /> Any earth movemen� may require M WD review and per�nits ! <br /> PROPOSED �VORK(desa•ibe i» �letai�: ��1�e,�--�� � ��'/�� <br /> STORIES: � SQ.FE�'T OF EACH FLOOR: ��� <br /> l�'�. OF BEDROOIViS: G�2A�E �TALLS: ATTACH�I3 DETA�I�E _ <br /> ESTII�IATED CONSTRUCTION VALUATIO:�'(excluding lancl): � .�(/G�C/ <br /> I hereby apply for a building permit and I ackno�vledge t�'f�t the it�formation above is complete and accurate; <br /> that the�vork wi ll be in conformance �vith the or nan�es and ,t�es of the City and with the State Building <br /> Code; that I understand this is not a pern it and� rk is`n t to s a`t�vit �ut a pen��it; and that the woi�k�vill be <br /> in accordance �vith the approved plan. � <br /> APPLICANT'S SIGNATUR�: �A��=: n�� . �� <br /> l <br /> � <br /> 3l <br />