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Total Fee: $ Date Received: ��-a0 -d� <br /> Entered By: Permit#: �iQfDSZ� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p�•int all ififormatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- - l <br /> THE APPLICANT IS: (circle one) OWN�Ij:bR CONTRACTOR <br /> JOB SITE ADDRESS:��U 5 �1��'(�ti�=� ���eT ZIP: �S��� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ I�eS �NO Ifyes, n specinl evenl peiv�tit is r�eqzrrred��vlth Police Deparir�rent and Crty Coirncil nppr•ova! <br /> 60 days pr•ior to lhe ever7t. Shi�ttle bais ser•vice i��ill be reqarirecl unless applicant demonstrates <br /> suf�cient a�-site parlcing is available. Non-pern�iitted eveirts�vil!i7ot be allorved. <br /> NAME OF OWN�R:��o �� �� �✓�✓` ��� � PHONE: (home)`��2'�� G " �i� � <br /> � (work) �( _ � - 1 �31 <br /> MAILIN�G ADDRESS: �`��S G��/����-e ��c��� CITY: ��r�nu ti'�'1�ZIP: � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: r� e n�." MOBILE/PAGER: �-�z=�,�c,� c )o E <br /> MAILING ADDRESS: _�_1� _ CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIY: <br /> NAM�: 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 /> nP.�p�SrT��I�R�;rles�rsb�ser �detcca�: �k������ ��1�r��M S��� � ��'��k -�tX�✓�1. <br /> STORIES: i SQ.FEET OF EACH FLOOR: ���� <br /> NO. OF BEDROOMS: 1 GARAGE STALLS: ATTACHED DETACHED <br /> �STIIVIATED CONSTRUCTION VALUATION(excluding land): � i. v u � <br /> I hereby apply for a buildinQ permit and I acknowledae 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 peri�lit and�vork is not to start without a permit;and that tlle work�vill be <br /> in accordance ��vith the a�proved plai�. <br /> APPLICANT'S SIGNATURE: DATE: / I � � .� <br /> 3� <br />