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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 al! information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��) ,_`�� C�..:s�.. �,A��,�. '�fl-� ZIP: _��,�',��, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO I Fyes, a special eveni permit is required tivith Police Department and City Council approval <br /> 6�0 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ���� � �„q,�,� �,�N�� PHONE: (home) `�:���f 73t>�-7Z_, <br /> (work) <br /> MAILING ADDRES.�: �O5v ('e;,� �„�,,K �, CITY: ("j�v�j ZIP: <br /> CONTRACTOR: ��,.�� ,Lr�:t c�� PHONE: 7i� �_3 7,,>�/ � <br /> CONTACT PERSON: �f� ��;�,�_ MOBILE/PAGER: <br /> MAILING ADDRESS:7;�,5�r�,�� N,��,;,-� lzZ CITY: �YS,�4�- ZIP: ��� <br /> STATE LICENSE: #�c/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�: ����' �,,�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ��� ��('� <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: I/ -�� U� <br /> 31 <br />