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. <br /> r <br /> Total Fee: $ �.� DateReceived: g'.�j�-4� <br /> Entered By: �'�?�-(,� Permit#: .� �y�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �2 oZ/,7 �t�����/�C e ZIP: �'",S"�'3�� <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior lo the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: ����y.f ���Z aV'� PHONE: (home)��,�-471 jf'�� <br /> (work)_�� �4t/7-�2�¢� <br /> MAILING ADDRESS: a,a1��� - CITY: ZIP: t,SL��� <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: 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 reyiew and permits! <br /> PROPOSED WORK describe in detai�: � <br /> � - . <br /> STORIE : Z SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ��l�lJ��� <br /> I hereby apply for 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 /> APPLICANT'S SIGNATURE: DATE: � oO 7 <br /> 31 <br />