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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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ��__ <br /> THE APPLICANT IS: (circle one) OWNER OR C�9Ai�'-���'QR <br /> JOB SITE ADDRESS: \� l �-`�� " "� � <br /> <_.����c ��, ��.c� ��_ ziP: �� 5 3�:�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �IO If yes, a special event pennit is reyuired with Police Deparhnent and City Council approval <br /> 60 days prior to the event. Shuttle bus service wrl/be reyuired unless applicant demonstrates <br /> suf�icient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ���-H � PHONE: (home)�/>�' �`� �'�3`-��� <br /> . �- <br /> (work) <br /> MAILING ADDRESS: � 1�--� C��'{: <<�p��'� ��' CITY:C-t'_t..►'�� ZIP: =:a 3 3� <br /> -�,; C; `�C� <br /> CONTRACTOR: � ��:���<�V� Nu.r-� ���;.£��+t,�- PHONE: �(,��- �,3.3 } <br /> CONTACT PERSON: 1jT�. �- � MOBILE/PAGER: E/� -_�, E�n -3 � 't �% <br /> MAILING ADDRESS: .�?���` -��"�+�� `�}- i CITY: 4,��... ��>k t' ZIP: —�5�7,,� <br /> STATE LICENSE: # 1�/��-{ EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATlON: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Hoine Remodel/Alteration (ie: iding, indows) �� <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: i',����� ��-; y ��c.,Z� — �5���_ �-��L'%���'� �i<<�`-� <br /> � � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> E �� `-� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ _ � <br /> ��r5c:�,1 -��il�' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accur�te; <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 wi 11 be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: `�M--��" �-'�-��`� DATE: '" � �� ��� r <br /> � <br /> �— � <br /> 31 <br />