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, � <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 inforrriation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS:���� ���fv p`"�i�'I��QI,c� ZIP: j���/ <br /> Will this be�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �10 Ifyes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��/P�t�� hi Y�(1�� PHONE: (home) - ��(���3// <br /> (work) <br /> MAILING ADDRESS: ,��?�1���p�,� (�� CITY: � • � �� �ZIP: �S 3�% <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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 /> PROPOS WORK(describe in detai�: , <br /> Pat�`���5�,�' d S ��%r' v� � 5�.� 'i` P � � � t'���c� <br /> STORIES: �'�_ SQ.FEET OF EACH FLOOR:%��_�;.E,�� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHE � DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�B�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 work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE� DATE: �� _ <br /> 31 <br />