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r . ,. <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 info�•rriatiori) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- --� <br /> THE APPLICANT IS: (cn�cle one)�OWNER� CONTRACTOR <br /> �� — <br /> JOB SITE ADDRESS: ��7S �I"�0 .��Z1U�JS �T• �� ZIP: S�S,�}1/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO lf t%es, a special event pernrit is r•eq:rired ivith Police Departn�ent and City Co2�ncil approval <br /> 60 dc�vs pr•ia�to tl7e event. Shuttle birs service tivill be reqaiir•ed unless applicant cteirionstr�ates <br /> su�cient on-sile parlcing is availabfe. Non-�ermitted eve��ts will not be a!loined <br /> NAME OF OWN�R �� O(�1'l� �C��1�� PHONE: (home) �S Z– y 7("��(U � <br /> � 1�'J (work) �Z �-�{7/ � �712 <br /> MAILING ADDRESS: ��75 ��D�1`v�-�t� CITY: ��rikJ ZIP: �S�'l/ <br /> CONTRACTOR: cQ� 1�.�l<<�t f�Z-t� 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 permits ! <br /> PROPOSED WORK(�lescribe i�t detain: �51-{-(N�LE j�p�F D� �E'1� <br /> �X l S1 I �Co Z – �'�� ��-2 l4CoE -- D��Ct-f'��J ��2UY'�( /-K"�USE <br /> STORIES: l SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: O GARAGE STALLS: ATTACHED DETACHED Z. <br /> o� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � - ��� � • <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; <br /> that the�i�ork will be in conformance �vitl�the ordinances and codes of the City and with the State Buildin� <br /> Code; that I understand this is not a permit and work is not to start witt�o�it a pennit;a�d that the work�vill be <br /> ii� accordance��ith the approved plan. <br /> APPLICANT'S SIGNATURE. � DATE: �� ��� <br /> 31 <br />