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� i <br /> Total Fee: /�6 ' �v Date Receive : ��' g'�� <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 pri�it��Il i�ifor•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> JOB SITC ADDRESS: �-��j('����j�;�}��( _ ZIP: <br /> Will this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ I�es ❑ NO lf yes, a specral eve��t pernii!rs reqtrired tinitlz Police Depar�tnre��t and Ci1y Coirncil npproral <br /> 60 da��s prior Co the evef7t. Shzrtde bzis serl�ice will be reguired unless applicantdemonstrutes <br /> su�cie»t on-site parlcing is availab(e. r��`on-pern�itted evetats i�vrll noi be alloti�ved. <br /> NAME OI'OWN�R: �f�{,� �(�(��(���/ PHONE: (home) ��}7;3Z73�7 <br /> (work) <br /> MAILING ADDI2ESS: ��� CITY: CI�C�IUC� ZIP: <br /> CONTRACTOR: �(�l� 151 )��l'Jt-(fi�E� PHONE: `7(�`�{-27�(�1F <br /> CONTACT PERSON: '�J���p� MOBILE/PAGER: `� <br /> MAILINGADDRESS: �(�3; r�r��`�S �l/ CITY: C�(���1/I(�`�tU ZIP: ���/� <br /> STATE I,ICENSE: # �(�,�';{���?�7�7 EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAM�: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure ___ <br /> Move Home RemodeUAltecation (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits ! <br /> ���p�SF��I��.K�flescr�l��s�a�letrri�: �-����(_�. _ kC �'C��t- l�f�!( - <br /> STOI2IES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDI200MS: GARAGE STALLS: ATTACHEll llETACH�D <br /> ESTIMATEI)CONSTRUCTION VALUATION(excluding land): $ �f�. J� <br /> I hereby apply for a buildinQ permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;tl�at I understand this is not a permit and work is� ot to tart without a pennit;and that the work wi Il be <br /> in accordance with the approved pl�n. ' <br /> APPLICANT'S SIGNATU �� DATE: (� <br /> � ��... <br /> 31 <br />