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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 /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: �rpS Di c�PY � �e y��'vc ZIP: <br /> Witl this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior lo the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: ��tf.,,¢s �.��S k e PHONE: (home)�s2 Y76 yOSf <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:/��q�wPS� KoO�i�c d-.5���4,c PHONE: 763�YZ 7- 969� <br /> CONTACTPERSON: �Gf��-esQ /L14�,�tie.. MOBILE/PAGER: <br /> MAILING ADDRESS: �l:i �T�,�'�r�soH hlwv CITY: ���n /�� ZIP: SS3/(o <br /> STATE LICENSE: # 2 DO/D2'7'7 EXPIRATION DATE: 3 3 <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 ay require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: `�'' O ef- �"�roo Glovse�4��cc� - y�ss <br /> ' v <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(exduding land): $� �13 <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 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 /> � <br /> APPLICANT'S SIGNATURE: ��� DATE: � 4 <br /> 31 <br />