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. � <br /> Total Fee: $ DateReceived: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information ►nust be submitted in full bef'ore plan review will be started. <br /> (/�lerrse prirtf ull irzf'ormrrtion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> —� <br /> JOB SITE ADDRESS: �( �a t� C- � �e-� /-• ZIP: �� �� / <br /> Wi❑ this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �NO If�yes, a special e>>ent permil is reyi�irecl irilh Police De/�urhnent nnd C'ity Cottncil approi�al <br /> <0 cfuv.s'pi•ior/o the erent. Shzrttle birs serrice iril/be reyuired ri��/ess ap�/icnn!denao��sh�ates <br /> sufficienl on-srle parking is�arailable. ;b'on-permiltec!erenls i��ill no!he alloi>>ed. <br /> NAME OF OWNER: �E n^� s ` �t��'��/ PHONF,: (home) '�- ys-��`/7 3�>�� 7 <br /> �Wo���:> ��.�-Y��- y��y <br /> MAILINGADDRESS: ���� ���►�������jr CITY: l;N �>��� ZIP: S���y / <br /> CONTRACTOR: �C� � 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 /> NAMC: RP;CISTRATION: # <br /> TYPE OF WORK: New Home Addition Accesso►y Structure <br /> Move Home Remodel/Altecation (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> � PROPOSED WORK(clescribe in detai�: ►�� S�.,r<,L� ��✓� � �e m� ��(�Q�- ��� �.r, �ti� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHCD <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � ������ <br /> I heceby 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 ofthe City and with the State Building <br /> Code;that I understand this is not a permit and w rk is not to start without a pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� �-1� DATE: �_( ��� 7 <br /> 31 <br />