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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 /> (plecrse print all informatioii) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: �Cli�cle o�ie) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: ��� �, ��e'� S� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO lfl�es, a special event�ei•���it is r�•e9a�ir�ed tivith Pollce Deparzrnent ai�d Ciry Council appi�•oval <br /> 60 days p��ia•to the event. Shi�tt/e bt�s ser�vice ivill be regaured ttnless applicant demonslrates <br /> sufficient on-site parkii�g is available. Non-pe�vrritted events lvil!not be allolved. <br /> NAME OF OWNER: �;N�� � � -� /4� PHONE: (home)���' �3 � - �7o I <br /> (work) <br /> MAILING ADDRESS: �-5� C-i leR�i S�-� CITY: J��,O�e P��•,v ZIP: <br /> � <br /> CONTRACTOR: ,'�t;ct '„��J+ �,z�, �: ,-=� PHONE: �TG 3 4��-�6�6 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 3 r� ����-�; �� r(w,_� CITY: C�+�, /, �v ZIP: 5 53/6 <br /> STATE LICENSE: # �c�o! G� 7� EXPIRATION DAT : 3- 3% � o � <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1V1�1L11\rV ti1lL�LJJ. �ii i: Iiii . <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�: �� ,2�-� 1,�, r,_,_,s� v- �- u r�� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ,/ DETACHED <br /> ,� <�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � L� �-3 <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 confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that I iinderstand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance �vith the approved plan. � <br /> APPLICANT'S SIGNATURE: DATE: �— j�'`06 <br /> 31 <br />