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Total Fee: $ Date Received: <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 all inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circ(e o�ze) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �/O ,D.e 13n-/� �/� � ZIP: 5^.S^3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a specia/event perrnit is reguired lvith Police Departn�ent and Ciry Counci!approval <br /> 60 days prior•to tlze event. Shirttle biis service�vill be r•egarired unless applicant dernonstr•ates <br /> sc fficient on-sile pnrkrng is available. R�on-perrnitted events ivill not be allowecl. <br /> NAME OF OWNER: C�r� S 4�c�TR��/� W�.L� PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: S�v ,(�T3n./� LA- . CITY: p2��� ZIP: <br /> CONTRACTOR: tul�, e�u.rn<., �����-b g�e►n�d.e�c�-�i`�iONE: 7�3"�ZU-���5 l <br /> CONTACT PERSON: ��� MOBILE/PAGER: (� 12- y 4� - 5 6 7 2� <br /> MAILINGADDRESS: Zilo ( o�kD�+c*� �- CITY: �uq�n,S ZIP: S"S 37y <br /> STATE LICENSE: # J a'� / , EYPIRATION DATE: 3�3 /f o� <br /> ARCHITEC�'7��1 . . <br /> MAILING ADDRES • ITY: ZIP: <br /> NAME• REGIS : # <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 cletain: f�� �2�o F !4 ov SS� <br /> � <br /> �'`,����� 4. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> w <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ v2�j �c 00 <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe City and with the State Building <br /> Code;that[ understand this is not a pennit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: S l b� <br /> 31 <br />