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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 irzformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- .__-------�_ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> `._.�. .� ..�- <br /> JOB SITE ADDRESS: �� �� �� �'� �� ✓'�-� CJ�'c.�v�l7 ZIP: --�' `" '�� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior lo the event. Shuttle bus service will be required unless applicant demonsd�ates <br /> sufficient on-site parking is available. N"on-permitted events will not be allowed <br /> NAME OF OWNER: �J���l �a`r� �`'� PHONE: (home)���`�7 3�3�S <br /> (work) ':.��(.�,-- �i'Io 3-3 3 7�, <br /> MAILING ADDRESS:���OS CD(i�'1 �f� CITY:� �� ZIP: ;S3S,(, <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 CWD review and permits ! <br /> PROPOSED WORK(descrihe in detai�: ��'� f"Ca0-� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> CJi`�� - 0U <br /> ] 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 i ot to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> r " <br /> APPLICANT'S SIGNATURE;i�' ' DATE: <br /> f <br /> �� / <br /> '` `_ <br /> 3t <br />