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Total Fee: $ DateReceived: i � �D-Ut,� <br /> Entered By: _ Permit#: �/O 5�a <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plertse ps�i�rt al!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOI2 <br /> JOB SIT�ADDRESS: �� � 1/ �( ( ('��f� �I� ZIP: <br /> Will tllis be a Parade of Homes, Remodelcrs Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /f}�es, n specin!event perrnit rs reqarired tivrth Police DepurtntenY and City Council npprorn( <br /> 60 days prior to tl�e evei�t. Shi�ltle Gzrs ser•vice ivill be reqzrired i�nless npplicant demon.rtrates <br /> si�fficie��t on-site parking is availnble. N'of�-peri��itted evenfs ia�il!t�ol be allotived. <br /> NANIE OI'OWN�R: � 1�i2�/3�}7FI�/ (-� l7 !Li PHON�: (hoine) q�Z�{�[� S�o`� <br /> (wock) <br /> MAILING ADDRESS: ��Q _ CITY: (�,�(�/�(� ZIP: <br /> CONTRACTOR: �� �(�� �f I�C�'"1 _ PHONE: 7(0?�{Z�l�% <br /> CONTACT PERSON: Tf�F���Y-}- MOBILE/PAGER: <br /> MAILING ADDRESS: �i��K��t���� h��! CITY: �{-IA_MPL,�.'l.; ZIP: �1(� <br /> STATE LICENSE: # 7_(`;(:�j O�7'7 F.XYIRATION DATE: <br /> ARCHITECT/ENGINE�R: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: R�GISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structuce <br /> Move Hoine Remodel/Alte►•ation (ie: Siding, Windows) �_ <br /> Any earth movement may require MCWD review and permits ! <br /> p�Qp�ST..''� �N�P.K�fIL'SCd�il��as�cdet:cil;: ���Ft- �— ����- �fi�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAI2AGE STALLS: ATTACH�D DETAC�IED <br /> ESTIIVIATED CONSTRUCTION VALUATION(excluding land): ���,/��. � <br /> I hereby apply for a buildina permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confonnance �vith the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a ermit and wrork is no o sta�t without a pe�rmit;and that the work will be <br /> in accordance with the approved p an. <br /> � -- - � <br /> APPLICANT'S SIGNATURE: �' '� "'� DATE: (� <br /> h� <br /> 31 <br />