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Total Fee: � Date Received: 1 <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 aU informatioii) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: ��J� J � ZIP: v��3I� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If�-es, a specia/event permit is required lvith Police Department and City Council approvn! <br /> 60 davs pr•ior to the event. Shutlle bus service ivil!be r•equired a�nless applicant de»2onsb•ates <br /> szr�cient on-site parking is avnzlabfe. Non-pern�itted everrds wi!/not be allotived. <br /> NAME OF OWN�R: L���� F��2Q������/' PHONE: (home�Cl� ��V ��s� <br /> (work) <br /> MAILING ADDRESS: �5 �;�����y/Q� CITY: Q ZIP: ��( <br /> CONTRACTOR: u Cl�If/ �- �'� �l�- PHONE: �9S �d—��1� <br /> CONTACT PERSON: �� � �c � MOBILE/PAGER: �. �� :� <br /> MAILING ADDRESS: �a �. CITY: �l�ok�q , ZIP: .�"'�� <br /> STATE LICENSE: # �OD — a�S`o EXPIRATION DATE:_ _ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CIT • . <br /> NAME: RE • <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows� � I��1�� <br /> Any earth movement may require MCWD review and permi,�ts ! <br /> PROPOSED WORK(describe ijt rletain: �d� � %/� ��".a/j o���j��e� J�`�l�f�j�vb� <br /> ��li°�'�i //Ud�,�fG <br /> STORIES: SQ.FEET OF EACH FLOOR: �QD <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHEll DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � ��✓f0 � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate.; <br /> tllat the�i�ork���ill be in conformance «�itll the ordinances and codes of the City and with the State Bui(ding <br /> Code; that[ understand this is not a peri�lit and work is not to start without a pennit;and that the���ork will be <br /> in accordance �vith tlle approved plat�. ` <br /> APPLICANT'S SIGNATUR : DATE: � <br /> . ;� <br />