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� <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 infornurtion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: `�C"'J�� W U D r}Q;1,(�(%�. LG( V�� ZIP: ?r� `� <br /> Will this be a Parade of Homes,Remodelers Shawcase Home or other Display Home? <br /> ❑ YCS ��10 IJyes, a special ever�t perniit is r•eguired tivit{a Police Deparh�ient ancl City Courzcil approval <br /> 60 dav.r prior to the everzt. Slzz�ttle bzrs service x�ill be required uriless applicant demonstrates <br /> scr fficient on-site parkrng is available. Non-pennittecl events will not be allowed. <br /> �.� <br /> NAME OF OWNER: �qvt`'�}� �C{,Gl �(,��,,ti���_ PHONE: (home)�Sa-�� ��l1(��15 <br /> (work)�I�;���l�a-Ui�qS <br /> MAILING ADDRESS: � ���� (i�y p��1��t,(�, CITY: (�W� ZIP: � 3 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CIT'Y: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �K yr;��� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(rleseribe in detai�: ��Pi.Z; ��v� <br /> STORIES: � `/�'? SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, Q(�� <br /> I hereby apply for a building pennit and I acknowledge that the infonnation above is complete and accnrate; <br /> that tlle work will be in conforn�ance with the ordinances aiid codes of the City and with t11e State Building <br /> Code;that I understand this is not a pennit a�id work is not to start without a permit;and that the work will be <br /> in aecorda�ice with the approved plan. <br /> n <br /> APPLICANT'S SIGNATURE: C DATE: L �JC U <br /> 31 <br />