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. <br /> Total Fee: $ (�QZ.� Date Received: � ' � ��� <br /> Entered By: �/l,� Permit#: �}�i���p <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) OW�i�R�R CONT�CTOR <br /> - �� /� r— �-,- -� c� l <br /> JOB SITE ADDRESS: .Sc� `�c� �%_;�C �,� ✓ C JC Q ZIP: �—� ��� / � <br /> Will this be a.P�xade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No /f yes, a specia!event per�nit is r�eqirir�ed witl�Police Departn�er�t and City Council appr�ovc�l <br /> 60 days prior to the event. Shz�ttle bi�s ser•vice rvil!be reqiured arnless applicant der�tonstrates <br /> si-fficient on-site parking is available. 1Von permitted events wrll not be allowed. <br /> NAME OF OWNER: //�'v �'" O w��-1-� �'��--- PHONE: (home) `-/� �%Z�-� <br /> �.�, � (work) `/ ��z/��,C / <br /> MAILING ADDRESS:`� .� `/o �;Z s'cd ,�f.i�i(tilTY:1i.��_� �� f ZIP,�"S3`�/ <br /> CONTRACTOR: _�� ��/ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1VIAILING 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 /> PROPQSED WORK(desa�ibe in cletcrin: �U_, �•�, 5 � %N c-� S <br /> `�� ,�C��1� � ��) � I"�l�'1 r����i���C' t�'1 � � <br /> STORIES: ;_-� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: `'� GARAGE STALLS: ATTACHED_� DETACHED� <br /> J�'' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � 3.�J� � <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 ordinance�des of the City and with the State Building <br /> Code;that I understand this is not a permit and wg.r-I�is not to star withou permit�. that the work will be <br /> in accordance with the approved.plan�.,---�'"��� — <br /> /� -' <br /> ..- _ <br /> APPLICANT'S SIGNATURE;,,�--��' " E: �� -� -c:� � <br /> � 31 <br />