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a <br /> . <br /> Total Fee: � � �J Date Received: ��` C� <br /> Entered By: �`'�� Permit#: p��� — / <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 one) OWNE OR CONTRACTOR <br /> JOB S1TE ADDRESS: � / � C i'l'��L, �� �/.P ZIP: s S � S � <br /> , <br /> Will this be P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, c�specia/event permi!is requi�-ed with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus se�-vice will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non- ermitted events will not be allowed. <br /> ` J� ����' c��a - v�� - ��s�/ <br /> NAME OF OWNER: � L��� �- l OG�S��'PHONE: (home) <br /> (work) 7 b� -�l 7 7 ` 3 S.�� <br /> MAILING ADDRESS: �� l� C���t�v-���✓ ��.� CITY: �r� v�� ZIP: <br /> S S� 3 S}�� <br /> CONTRACTOR: S� �� 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 m y require MCWD review and permits ! <br /> PROPOSED WORK describe in detai�: C� �� �.� C�Cc.,�.� P l�r <br /> i � ci ����� �> s � � <br /> STORIES: l SQ.FEET OF EACH FLOOR: 1�/ � l S� <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATTACHED DETACHED�-Z <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, �?0(� <br /> , <br /> 1 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 ardinances and codes of the City and with the State Building <br /> Code;that I understand this is not a perinit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> i'�� , / c:: <br /> APPLICANT'S SIGNATURE: ."f , �,���G�ti DATE: �/�/ � �� <br /> 1 <br />