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� ���� �� <br /> Total Fee: $ Date Received: /� -� l� �' �= <br /> Entej-ed By: �� �'L. �2�� Permit#: ,�!} j;�;_:> `t'�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plecrse p�•i»t a/1 r�nformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: �C1Pcle oiie) OWN�R OR CONTRACTOR <br /> 5 ( <br /> JOB SITE ADDRESS: f ' i�� I�, n ZIP: -J��4J�_ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Disp(ay Home? <br /> ❑ YeS �1�10 If yes, a special event pernrit is reqarired tivrt/7 Police Deparlment and City Coarnci!approval <br /> 60 dc�ys pi•ior to tlle eve�rt. Shuttle bus service i�vill be reqzrired unless c�pplicarrt demonstrates <br /> su�cient on-site par/'i�g is a�ailab/e. Non-pern��itted events wil!r�ot be alloia�ed <br /> NAME OT OWN�R: �v�t� � �-�Q PHONE: (home) � ' C� �� <br /> � <br /> (�vork) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ���` PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIY: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hoi�1e Addition Accessory Strueture <br /> Move Home Remodel/Altecation (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PT���OSEiJ�J4'�1?K(�l�scr�be ae: �letred�: S=t-�wo,� � ,�c�o �,1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACH�ll <br /> � <br /> ESTIIVIATED CONSTRUCTION VALUATION(excluding land): � � ���—6� <br /> I hereby apply for a buildinff 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 Buildin� <br /> Code;that I �ulderstand this is��ot a permit nd work is not to start without a�ermit;and that the work��-ill be <br /> in accordance �i�ith the approved plan <br /> APPLICANT'S SIGNATURE: � DATE: l l~ ��� - � <br /> 3t <br />