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� <br /> � • <br /> 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: ��� ����y ���j�se �� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, a special event per�mit is required with Police Department and City Counci]approval <br /> 60 days prior to the event. Shutt/e bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is avai[able. Non permitted events will not be allowed. <br /> f <br /> NAME OF OWNER: �J �v, �-,G vtne,rn q r� PHONE: (home) �S�`�`�S- 33 zO <br /> (work) <br /> MAILING ADDRESS: �� �- G�evy �'�r sP p� CITY: �� ZIP: <br /> w�� z��q <br /> CONTRACTOR: S�bJ((zi,-� I-Ic�+.e .�-�•lk�v�e�re� �-- PHONE: �S 1�.3� s 767 <br /> CONTACT PERSON: ��v�r� 7_e L�rP, S MOBILE/PAGER: <br /> MAILING ADDRESS: �Z���,p jc �xnP CITY: �� �e Cclua�c ZIP: S--S/�7 <br /> STATE LICENSE: # �U�-6�7 �3� EXPIRATION DATE: 68 <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�: �c'�(" C^��-� i��;(�v� � <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���p'��'o <br /> I hereby apply for a building permit and I acknow]edge 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 pe mit 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: ��`����� <br /> � <br /> 31 <br />