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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 /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- '-� <br /> THE APPLICANT IS: (circle oney OWN��2�OR CONTRACTOR <br /> JOB SITE ADDRESS: ��(� ��Sj�//f%Ll `'�U'fr(.%!y ZIP: ���j,�j� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS Q NO If yes, a special evenl permit is requii�ed with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wil/be reyuired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �-)�'%.� �,�� U. �Jic`�'LJ/j'T PHONE: (home)`,���/,�7�-�?y/f <br /> �� (work) <br /> MAILING ADDRESS: ��'�✓� �G>��t%i C/z)�lf-C� CITY:��rOrt�' ZIP: Sh�S�, <br /> CONTRACTOR: J�/f�' PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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�: ���_r-���j' ��� �r .lr��l�f' <br /> STORIES: ' SQ.FEET OF EACH FLOOR: ���� <br /> NO. OF BEDROOMS: / GARAGE STALLS: ATTACHED DETACHED �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /,��ir) <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:��. � -�,n�_ DATE: �D -/-O� <br /> 31 <br />