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Total Fee: $ Date Receiv : � �/�� <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 /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ' ;� � c:,�yS;� C�� I�i� ziP: 5:.��S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to lhe event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site pa�•king is available. Non permitted events wil7 not be allowed. <br /> NAME OF OWNER �,��� �$"� �,a��((.���5� PHONE: (home)q,�Z �-73 v j a�j <br /> (work) <br /> MAILING ADDRESS: t��� �r2��,��d'/�}-� �,2����{�,�CITY: e�� ZIP: �'s 3 r� <br /> CONTRACTOR: ��cyZ�-�,.J �oaLS �(P���� PHONE: `��z:�i 3� 3o I fl <br /> CONTACT PERSON: Scv TT MOBILE/PAGER: h�L�/-�;�—y 7 <br /> MAILING ADDRESS: ��,��b ,�,r��s�er� g�„t� CITY: �j y-,���- ZIP: �`r3_yS <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: �,U���-c� �/� C-.iZ.o uv a �oo�_ <br /> i��X—�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � ?' � ; �',�7 . ;�;) <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 Sfate Building <br /> Code;that I understand this is not a permit and work is ot to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: DATE: �/Z� �6� <br /> 31 <br />