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. j <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �/.� ��s �� T�:� 7L/�' ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days pi•ior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: /�� �� ao � � PHONE: (hame) �s�'y��9� �-j <br /> p/ / (work) <br /> MAILING ADDRESS: •?g ���Jca/�`• /c� CITY: ,�� o ZIP: <br /> CONTRACTOR: �c�, `c /�•d �� �1 ��. PHONE: �1�?�?-�Q 6 d <br /> CONTACT PERSON: �A �-.' � lc MOBILE/PAGER: <br /> MAILING ADDRESS: /Y9� f' i2a,�e` s�, ti�.�/ CITY: �-.,a/ov�w- /�r IP: �s"'3a � <br /> STATE LICENSE: #_� 03 F,'o"? 0 3 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 movement may require MCWD review and permits ! <br /> PROPOSED WORK(desc��ibe in detai�: �om �:c,t — ��..., d�'�' <br /> �G�e 4 �,.�a.'�c �-- �"m C ad.� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �G��/' D C� <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 /> APPLICANT'S SIGNATURE: ���`G� ATE: � d��� <br /> 31 <br />