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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 prirtt all inforrrzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: {�,�i � ( Gc.l�C� ���Q � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��To !f yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: �c C+�', 1` �� PHONE: (home)`��` 7/`�6 D� <br /> (work) <br /> MAILING ADDRESS: � �a���JCv ���„ � CITY: � ,f/,.J ZIP: <br /> CONTRACTOR: �v�/I?a�l�L .�o�?���j��� PHONE: � " y , �(7 <br /> CONTACT PERSON: G � ��— MOBILE/PAGER: <br /> MAILING ADDRESS: �ll ...�<r G��ol/x� CITY:�v �- z ZIP: �G�' <br /> STATE LICENSE: # ��� � EXPIRATION D E: <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 re uire MCWD review and permits! <br /> PROPOSED WORK describe in detai �� <br /> ( �� �ri�r- s� � �'ii K � U'�- �'��� � '1.-� <br /> dj�i�� ��„r �/ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> .✓� a'� — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � <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: r/ � DATE: � ' l -�� � <br /> 31 <br />