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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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> �� <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR � <br /> JOB SITE ADDRESS: �7�� ���C- � � ,:,��'' ZIP: <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS NO /f yes, a special event permit is reguired ivith Police Department and City Council approval <br /> 60 days prior to the event. Shu[tle bu.r service will be requir�ed unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: �J'/i-l� �7�y7 PHONE: (home) i�� - ����'� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: -�lsl c:..-/� `r�;y ,��-�-i�. �. PHONE: 5'S%� y�� - �O�(.� <br /> CONTACT PERSON: , � OBILE/PAGER ��Z -..� �/-�'y 77 <br /> MAILING ADDRESS: ��G�l 7 5 �,� �/�'�CITY: -S,�i c}�ti.,�ck; ZIP: S�' "� / <br /> STATE LICENSE: # ,����f;� 3 I EXPIRATION DATE: %'� ' <br /> � � �; <br /> ARCffiTECT/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: i��c�` ��� � ��..i�,� ��j"v,�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��� ! <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 ord}pances,and code�of the CiTy and with the State Building <br /> Code;that I understand this is not a permit and w.6rk is nctt to start:�vithout a permit;and that the work will be <br /> in accordance with the approved plan./" ��' �'', <br /> % / ) <br /> APPLICANT'S SIGNATURE: � DATE: !/��� <br /> � <br /> 31 <br />