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r ' <br /> Total Fee: $ � d �� Date Received: �/3�/Q� <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 al!infof�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 33�� ' � , ZIP: -��3 � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a specia/event permid is requir•ed 1�nith Police Departrnent and City Council appr�oval <br /> 60 davs prror to the eve��t. Shuttle bus servrce i��il/be required araless applicant deinor7strates <br /> su�cie��t on-sr�te parlcing is avaifable. 1Von-peri��itted ever�ls will not be allowed. <br /> NAME OF OWNER: Q PHONE: (home) qS,Z- �{7/•�$� <br /> (work) <br /> MAILING ADDRESS: 3 � � CITY: Q ZIP: 5�'39 <br /> � <br /> CONTRACTOR: A���� �� �aQ rvC � PHONE:7�3 • ,Z f j � 6_�� <br /> CONTACT PERSON: MOBILE/PAG R: (� /Z- 25�v • �-� 3 S� <br /> MAILING ADDRESS: � $ SU • � r o T• CITY: � t� ZIP: C��� <br /> STATE LICENSE: # �p 3[����y EXPIRATION DATE: � � 3 � ' D � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAltecation (ie: Siding, Windows) <br /> Any earth movement ay re ire MCWD review and permits ! <br /> PROPOSED WOR (rlescribe in�letai�: — <br /> l � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /,s�, °``� <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���ork is not to start without a permit;and that the�vork will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE. DATE: �� J � ' d� <br /> �t <br />