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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 O CONTRACTOR <br /> ., <br /> JOB SITE ADDRESS: ��o� C� L�� ZIP: S� �� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � lf yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicanl demonstrates <br /> suffrcient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER ��h� S � ���"''�✓ PHONE: (home) �������3 � � 7 7 7 <br /> (work) �l�- �3(�- `��(f� <br /> MAILING ADDRESS: a`(�S- �v�w���j � CITY: C� o��u ZIP: � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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 ermits! � <br /> PROPOSED WORK(describe in detain: � �ro+C���x ��C�Q � ��y�� �'� �'� <br /> +��� �r�6 �v C�r�,r c�- <br /> -� <br /> STORIES: � L S���� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED 2 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): ��) <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe City and with the State Building <br /> Code;that I understand this is not a permit an 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: �'� /Z�c� J <br /> � <br /> 31 <br /> � ,k � VS s � e (G�✓ti�^^' "'�J �. ��n1v� r.v s � <br /> 6� �L-a ' <br />