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- � <br /> � <br /> Total Fee: $ ��� � � DateReceived: � f �C� � C' <br /> r 7 <br /> Entered By: C� (� ` ��'� ��" Permit#: l.� � ��,� ��tp <br /> � � <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 i�zformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE anD�SS: �`� �l � �A q�� n e�,� ���-: �� ZIP: S�� � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o !f yes, a special event permit is reguired 1��ith Police Departrnent and City Cozmcil approval <br /> GO days pi�ior to the event. Shuttle bus service wil!be reqa�ired unless applicant denaonstrates <br /> szrfficient on-site parking is avai/able. Non-pei�mitted events 1vi11 not be a11o1>>ed. <br /> NAME OF OWNER�p55�D�n �'(q r►�� , �^�—C- PHONE: (home)�6 �" '����� <br /> � ,�~ j (work) <br /> MAILING ADDRESS: � � `"I �-5 `a ��CITY: �� ZIP: ���� <br /> CONTRACTOR: •� � �rl�� `�c- � PHONE: /� - S�� S� ��'3�' <br /> CONTACT PERSON: �n MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> � <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 requir MCWD review a pe mits! <br /> PROPO ED WO K(des ' e 'n detai�: Lan � �G� j 3 a �c.� p-,L , <br /> ,G. �` I �� F� � � "? �L '� 42 ' c,15 �-�1��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �C� �' <br /> � / <br /> I hereby apply for a building permit and I acknowledge that t information above is complete and accurate; <br /> that the work will be in conformance with the ordinance and c des of the City and with the State Building <br /> Code;that I understand this is not a permit and work is ot to st t without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ' jp� ��p <br /> '�_. <br /> 31 <br />