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f' � ��� � <br /> ������ <br /> Total Fee: $�� . ,3 Date Received:o2.���,� <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 O CONTRACTOR' <br /> JOB SITE ADDRESS: �� �.y S id� �1�. ZIP: ».3.,���� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �� No !f yes, a special event permil is requii•ed tivith Police Department and City Council approval <br /> � 60 days prior to the event. Shuttde bus service will be reyuired unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER:��g �.p.�r,� �p�,�;,;;u� PHONE: (home)_ti �+� <br /> M�p� (work) �— <br /> MAILING ADDRESS: �7�p ��w�;;D� � CITY: �,,fa;�i ZIP: � _ << <br /> CONTRACTOR: (�MNtE�a�;�, L�;,r,T .��.• PHONE: 74:3-��7Z-3uc�.3 <br /> CONTACT PERSON: �j a� MOBILE/P��: 7�;;�-22�� -23�,0 <br /> MAILINGADDRESS: q�;y r•��. hp. � � S�: CITY: Aujtjui> ZIP: 553�-{s <br /> STATE LICENSE: # ��<� EXPIRATION DATE: h3�� or; <br /> ARCHITECT/ENGINEER: �SKU�N� �-����' PHONE: i;,�2- 'Z�1r, - 7;�5 <br /> MAILING ADDRESS: �?c;i�, ;�,i�,�.t:s i�i� 'w . CITY: (Wt rv�,�-r�.w,� ZIP: S5_;�.; <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(describe in detai�: ;;;�;,� �;��,�'� <br /> STORIES: � SQ.FEET OF EACH FLOOR: f�/ � R�4��t;� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��'� `� <br /> I hereby apply far 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 /> � <br /> APPLICANT'S SIGNATURE: DATE: -���a� <br /> 31 <br />