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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 /> -- - �-_.. <br /> THE APPLICANT IS: (circ[e one) OWNER OR�CONTRACTOR <br /> JOB SITE ADDRESS: ���i � (�::�.�h-( �-y�, � c� r- - ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Departmenl and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site par�king is available. Non permitted events will not be allowed. <br /> /1 , <br /> NAME OF OWNER: L���' � �� ��� C(C-.��/ PHONE: (hame) <br /> (work) <br /> MAILING ADDRESS: �� �� `' ���`������-����'�c(��CITY: �:��c v� � ZIP: <br /> CONTRACTOR ��c��� ���';.Y ,�, � PHONE:�Cc1�J- -,}��I� �����_ <br /> CONTACT PERSON: � ��r'f ��,��.ss� �- MOBILE/PAGER: <br /> MAILING ADDRESS: ���i S �� ({�/ i?,(' :���� CITY:,�t,�,,,�- �l j-;.,(<< ZIP: �'� �'� •� <br /> STATE LICENSE: # ��,� j �'--� -:��. � EXPIRATION DATE:�/ ��T 1$' <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�: �?�i-,..�'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ;, .-� ;;�__ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��,� �,T-� � <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 accordanee with the approved plan. <br /> � v ��-�L��,L;:,,xi�.�,t�- <br /> APPLICANTSSIGNATURE:�"�� ���-"'`- �� DATE: � " ( � - O'� <br /> � <br /> 31 <br />