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Total Fee: $ Date Received: O� <br /> Entered By: Permit#: D <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: ��5� �:('�r�1��- t�z�� i-'��i� z�: S�S a�i � <br /> Will t6is be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permil is required ti��ilh Police Deparimen�and City Council approi�al <br /> 60 days pria•to the even�. Shirltle bus se�vice i+�iN be i•equired z�nless applicant demonslrntes <br /> su�cient on-site parking is m�ailable. 1Von permitted ei>enls irill noI be alloi��ed <br /> NAMEOFOWNER: ��1'�- U}��11C(� PHONE: (home) <br /> �Work) .z 1�- �9 S� <br /> MAILING ADDRESS:� C(Z-Y,SZac-i3�'`t �r� CTTY: C1�1;.�v� ZIP: SS3`�I <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATTON DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 1 CI'TY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) �- <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe 'n detain: ��{-�t�+C(t�Z� (�f.� �c:.1�� �:SC;�.�� <br /> �''" �C z�ti�'C t-r D:z=-i�- R�!1 U N C,7 �- �t�SC(!�� G t-�4r.�c,a S rV+�2 I(J�YLrCx��'� <br /> --� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � (�- �� <br /> 1 hereby apply for a building permit and[acknowledge that the informarion above is complete and accurate; <br /> that the work will be in conformance with the or ' ances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and 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: <br /> `� � Q � <br /> 31 <br />