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• <br /> 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 pYint all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> .__ .�. _ _. <br /> THE APPLICANT IS: (circle one) OWNER Oli CONTRACTOR .� <br /> � _ __.. _.._._.... <br /> JOB SITE ADDRESS: ��S ��iCi�c'�� l��c? l�r ZIP: SS�S,� <br /> ; <br /> , <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO Ifyes, a special event pei•mit is required with Police Department and Citv Council approval <br /> 60 days prior lo the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site pa�-king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �,�� �C��/��! PHONE: (home) �S�-�7/a--�� �� <br /> (work) <br /> MAILING ADDRESS: 7�fS IDic�a�, l�,/lt� j7r, CITY: D/QD.�dc� ZIP: .5"S' S _, <br /> CONTRACTOR: � , ;� C��i�� PHONE: 7��3- ��3�3�i 7 <br /> CONTACT PERSON: ; MOBILE/PAGER: " /� - 7i�--�7 S3 � <br /> MAILING ADDRESS: /75�� CD 2�f �� CITY: f�l y/2�c����` ZIP: S$��� <br /> STATE LICENSE: # Sj,$� EXPIRATION DATE: � - 3i— ��� <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 detai�: 1��� �.�' �� �, � ���,(���/pr <br /> �S��/�'r��i�S/N5' �i?/�l/�i�-�'GF� �c��iYll�v�,� 5�' ��i%-s—�i,,.is-�1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> -, cv <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �����--� <br /> I hereby apply far 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 /> APPLICANT'S SIGNATURE: , ,� �.:�',�� ,� - .__ DATE: ����-`l�' <br /> 31 <br />