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���� I <br /> . <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 O CONTRACTOR ) <br /> _� <br /> JOB SITE ADDRESS: /Z�'!f �(w�c.�o� � �`'�-- ZIP: <br /> Will this be a Parade f Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS o If yes, a special event pernzit is��eguired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus se�-vice will be requiretl unless applicant demonstrates <br /> sufficient on-site parking is available. Non-pe���nitted events will not be allowed <br /> NAME OF OWNER: �;.�. � � �t S C � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �-��y�S ��C{e1�'ur'S �i c. PHONE: �r Z 6YY " � 2-� � <br /> CONTACTPERSON: a�zo� MOBILE/PAGER: ��rL� �c�-f�I ' p23 6 <br /> MAILING ADDRESS: Z62 ( XFr27c S',f �.��. CITY: �e�,�.'�s.•�-�ZIP: �_'�°L Z_ <br /> STATE LICENSE: # �0,3 0�Y S( EXPIRATION DATE: �/,3//� � <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) tf <br /> Any earth movement may require MCWD r view and permits ! <br /> PROPOSED WORK(describe in detain: -7�.i.t- - o � /'� � 2C� -/�o� � <br /> �O�S E ���C.!'� C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (p Z� , �,o <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 confarmance 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 work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: T � c,G <br /> �� 31 <br /> �� <br /> �, <br /> �� �I �I ( <br />