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Total Fee: $ =�'� =' � �� DateReceived• '�`��'�7 <br /> Entered By: � � L I'�'�' �'; Permit#: /p�� <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 a[I information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB sITE avn�ss: / S G � -f � zir: .��.� �� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �NO If yes, a speciat event per�mit is required with Police Department and City Courrcil approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be al[owed. <br /> NAME OF OWNER: ��. ;,� ���,�ii� PHONE: (home)�Sd-�'�_��a-�-9 <br /> „ (work) <br /> MAILtNG ADDRESS: � � C n �' CITY: ��'���3 d ZIP: ����,3.�'� <br /> CONTRACTOR: a.. i��. 'l ��. ��c ..- (�.� �.. ,'�;�,;�� PHONE: ,�/.�— �7���� �� 17 <br /> CONTACT PERSON: �,... ;�; ', MOBILE/PAGER: f.��,., �_ <br /> MAILING ADDRESS: ///d-o 3�� �✓ CITY: o h ZIP: �4 ' i <br /> STATE LICENSE: # ;��•¢S'o'-y� 5� EXPIRATION ATE: �/3 � /o,� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure =���c <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(deseribe in detain: e, �_ � ` �>. , r eF��.�-- <br /> /��" ) � � r <br /> /y�_C%l_ C- !iC!� '�' - N• r' _ <br /> STORIES: / , SQ.FEET OF EACH FLOOR: ��%�% s,� �� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 9���- � ��' <br /> 1 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 work iS not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> i' <br /> APPLICANT'S SIGNATURE: //' r DATE: �%� � <br /> 3t <br />