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. ,� <br /> Total Fee: $ ��PQ � Date Received: � ' �� 'V� <br /> Entered By: (' �yy� Permit#: .�I� �1 <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 /> JOB SITE ADDRESS: `d `�,5 ���y � ,��,�,� ���� G� � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special evenl permit is reguired with Police Department and City Council approval <br /> 60 days prior�to the event. Shuttle bus se�-vice will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> � <br /> NAME OF OWNER: �� -�,�-C S� •,ti PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: %O�5 ��,l��ti,�,�,�/�J/�Qo�CITY: I,t� Z fI— ZIP: _�'S3 > � <br /> 7�j-���—3a�G <br /> CONTRACTOR: n �,� � C� PHONE: �p�� <br /> CONTACT PERSON: ��, ,,« MOBILE/PAGER: G/5- �S �4c'� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ;�-C'� `/ 1 �7 j� EXPIRATION DATE: 3j 3�T�� <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 perm'ts!� <br /> PROPOSED WORK(describe in detai�: �� �r* ��� '����f�:�� ;� �.� .-� ������.n �- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <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 ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and w �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: � � 4 7 <br /> 31 <br />