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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 /> J�`.�;� <br /> JOB SITE ADDRESSr�S�u C,.. ��� '� �� y��� ../.�/ �Zr�r��t Zip; �; �;� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes ❑ �10 If yes, a special event permiz is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: �j CQ�c' � " <br /> ,�C . � C.�L�- � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: a�qv ���;�f�� ysi� �('�,�� CITY: C� �-��! U ZIP: <br /> , <br /> CONTRACTOR; /� // J�;o r'L � ��, , � ��!Lf.< < %�,r� PHONE: 7(Q 3 -�-17 �- ��U G' <br /> CONTACT PERSON: f�e(-� ('„ r j ;�,,�, MOBILE/PAGER� , „':� o �33� <br /> � :� <br /> MAILING ADDRESS:S'�S'` %.,c�',����+�o/�l s'�`�i<'lJ CITY:���',�� �'l_�n ZIP:55�'� J <br /> STATE LICENSE: # 3�y 7 EXPIRATION DATE: �' 3 ����� <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) �i� <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 /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ i J{i 5��' <br /> i hereby apply for a building permit and] acknowledge that the information above is complete and accurate; <br /> that tlle 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 accordance with the approved plan. <br /> � � DATE:��✓� �-c /3 ���%7 <br /> APPLICANT'S SIGNATURE: �'' � � <br /> 31 <br />