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�� <br /> � <br /> Total Fee: $ f�P 2-, Date Received: �� � l0 — 07 <br /> Entered By: Permit#: R//�'S'�' <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: , � ZIP: �%��� <br /> Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS NO !f yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days p��ior to the event. Shuttle bus service will be required unless applicant demonsirates <br /> sufficient on-site pa�•king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ������j S�� /;/� PHONE: (home) %�,�� y T�� C=�� <br /> ork)�' ..rr� <br /> MAILING ADDRESS: �� /Q�.� � � CITY: ��� � ZIP: < < � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITEC /ENGINEER: PHONE: —��� �)I'v< ��� <br /> MAILING RESS: ��r�� � � � CITY: ZIP: �S .� <br /> NAME: �/,�� ,-;>.�rn REGISTRATION: �j�y ]7� <br /> TYPE OF WORK: New Home Addition Accessory Structure �_ <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may equire MCWD review and perm'ts! <br /> PROPOSED WORK(describe in detai�: �� �� � � ��- � <br /> STORIES: � SQ.FEET OF EACH FLOOR: ,� �� <br /> NO. OF BED OOMS: _� GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, ��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 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: �l� `s-l�i <br /> 31 <br />