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, ,. <br /> �j,� , � _� , �� � <br /> l )�%� , �� <br /> Total Fee: $ ��/ ,�'� Date Received: *"�r'�� <br /> Ente�-ed By: (��/� Permit#: � �'`'`l�� <br /> , l9/O�9� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before �lan review will be started. <br /> (please print crll infor�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cii�cle oize) OWNER OR CONTRACTOI2 <br /> � <br /> JOB SITE ADDRESS: ��'� �� ���� � � ZIP: J�I <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �1�10 If yes, a special ever�t permid is r•ec�trir•ed tivith Police Dep�u•tnrent and Cid}%Coarncil appr�ovn( <br /> 60 days prior to the eti�e��L Shirttle blrs ser�vice rni!/be r•eqz�rr•ecf���inless applicant demonsb�c�tes <br /> suffrcient on-slte parking is available. Nan-perrnitted events will r7ot be al/owed. <br /> NAME OI+OWNER: ���c,f�'�� � ��L�-�. PHONE: (home) <br /> � (wock) <br /> MAILING ADDRESS: -�`�� ���5�'1� �t� ITY: ZIP: `� <br /> � � <br /> CONTRACTOR C/N�j C�)'1��1��dh� PHONE: � - '�� ��C� <br /> CONTACTPERSON: ��L� " � -e/ MOBILE/YAG R: �- �� �' -� 9� <br /> MAILING ADDRESS: �► � -� ' �-- CITY: ��">>'���� ZIP: �/� <br /> STATE LICENSE: # � ���' EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIN: <br /> NAM�: R�GISTRATION: # <br /> TYYE OF WORK: New Home Addition Accessoiy Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) <br /> Any earth movement may require MCWp review and permits ! <br /> pR�P�S�ll�N, �?�?���lescf�sbe se: :l�t:�i�;: L' :� G(��--QC'' n <br /> �'�,t` � t� C � �le� <br /> STOI2IES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED llETACY,[�D ✓ <br /> r1'�/ <br /> �STIMATEI)CONSTRUCTION VALUATION(excluding land): � `�j�j��� <br /> I hereby apply for a buildina permit and I acknowledQe 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 witl�the State Building <br /> Code;that I understand this is not a permit and�vork is noC to start��ritho�it a permit;and that the work���ill be <br /> in accordance with the a�proved plai�. <br /> APPLICANT'S SIGNATURE: � � ' DATE: IL � �-� <br /> � <br /> 31 <br />