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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 print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> � THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: .�`f� � �� f- /,,�/�- �-��.����zIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event permil is reguired with Police Department and City Council approval <br /> 60 days prioi•to the event. Shuttle bus service will be required unless applicant demonst��ates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: �`-Lc iv�� ��� �/��-r�, �1.' 1�`/�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �j ZJ C'`i L��%�� �-`��<< �'fCITY: ��'C;'`� '= ZIP: <br /> CONTRACTOR: E �" '��/%��'/� ��/���, C�` PHONE: �-1�� _3`7�/- )%G`� <br /> CONTACT PERSON: ,�� ,�,.� / << MOBILE/PAGER: <br /> MAILING ADDRESS:_�is �=p'�1..-_ � , �";,�r CITY: %'��'�; ZIP: >;�,t�� <br /> STATE LICENSE: # �?�` �?�C jc' �--- EXPIRATION DATE: � �i �- u�',�L <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/� �' ���� �z'� � ` � � . <br /> '-J� �G' '>l �/ �C�� ��f—�/L�� f Z'1 LL fl,":_-`�/ <br /> y� � <br /> C=� � ��.� � ') %T/ ' /�-��i�?��t;c:' �J � L '. ,L�.��7u� ,<-- �L�✓H., �r.' '''�lL*M'� <br /> '��� z 1`'"� <br /> STORIES: � ��— SQ.FEET OF EACH FLOOR:� ����� '�`,L � <br /> NO. OF BEllROOMS: L GARAGE STALLS: ATTACHED DETACHED Z- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���c — <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 witl�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 wark will be <br /> in accordance with the approved plan. <br /> �/�A /�/� <br /> APPLICANT'S SIGNATURE: /� -������ ,�ny.,�_.Z'�-- �ATE: /L; -� — � ;� <br /> 31 <br />