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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 print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /02 3 C�/�'v� y C�/�.5� �zir: SS.39'/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ �10 Ifyes, a special event permii is required with Police Department and City Council approval <br /> 60 days p��io�•to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �Q��/1 � S7.e.91J/►��'� �J PAONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: !�t/�' �v/'il CCD�� r r/ / /"rJ�PHONE: '6�-Sy�o,�vy <br /> CONTACT PERSON: _�j�,�� M ILE/PAGER: <br /> MAILING ADDRESS: 9j00 /,��� f9`£ ^/ CITY: ov�l�ZIP: ,�-yy/ <br /> STATELICENSE: #� oiSSS6G EXPIRATIO ATE:03-3/- 09 <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 /> PROPOSED WORK(describe in detai�: T�'4 y �i�� ,��'y�/�' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ o� � O '� O �— <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in confonnance 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: ��v�- l� �j���ATE: //2`j'�-o� <br /> 31 <br />