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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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ����D ��,�� Z�'iec� ziP: .SS.��S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes p( NO If yes, a special event per•mit is requi�-ed with I'olice Department and City�Council approval <br /> 60 days prior to the event. Shuttle bus service will be i�equired unless applicant demonstrates <br /> sufficient on-site parking is available. Norr permitted events will not be allowed <br /> NAME OF OWNER: ,�'-�'i� ,�� �} ��� SZ� PHONE: (home) <br /> /,�v�t ` �, (Work) <br /> MAILING ADDRESS: c�7dr'� l'd�,0-z,�`Ij�=�ITY: 6-���'j ��t,�pZIP: ,�.js`� <br /> � <br /> CONTRACTOR: �j'O r;iv1 ��',� �[/�t�{�h, �l�.vr�S•��,�.. PHONE: Cf�/:�'��� �€'..5��,3 <br /> CONTACT PERSON: � ;� �'c �in PFs�e✓ MOBILE/PAGER: ��}- -3�y �-�-,�y� <br /> MAILING ADDRESS: ���� ,�-� a�j,� ��!c/�/�C��ITY: �j n✓�`��.-,� ZIP: .S�`"3S";� <br /> STATE LICENSE: # ,�o�/�G� �g' EXPIRATION DATE: 3/:3i�S � <br /> -�—T <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� g' �'.���Q ���,� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTIOI�I VALUATION(excluding land): $O� <br /> I hereby apply for a building permit and 1 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 wark will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: � � ��;�,�E; /� �J =j <br /> �1 <br />