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� 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: Z 7,S q��jv� �,P��--�,r�, ZIP: <br /> Will this be � Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, a special event per•mit is required with Police Departmenf and Ciry Counci!approval <br /> 60 days prior to the event. Shuttle bus se�-vice will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-perniitted events will not be allowed <br /> NAME OF OWNER: �pI�,1 �"" PHONE: (home)� �'�Z-ZS��'-/�(�( <br /> (work) <br /> MAILING ADDRESS: 27�5' �4��� U«��,, ��c. CITY: ��ilQ ZIP: <br /> CONTRACTOR: �f oG���o. iUl'� ,�h C, PHONE: 7�3 -S'S'�' ��� <br /> CONTACT PERSON: MOBILE/PAGER: �3'�,,�� <br /> MAILING ADDRESS: �3.S6D ,�����i/-� L��- CITY: /l����c� ZIP: .SS'.�O <br /> STATE LICENSE: # Z0I7Z/,�3 �— 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 review and permits ! <br /> PROPOSED WORK(describe in detai�: �Pa�r-C��Z�A'�3�i�� �4��'7f � �S�'���PGI/`-- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Z ��.3.E?O <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 pennit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> '�i <br /> APPLICANT'S SIGNATURE:,.-'� DATE: /l��D� <br /> � <br /> �� �� <br />