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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 CONTRACTO <br /> JOB SITE ADDRESS: !�' 7S �a � e2 �es �f �d zTP: .s,3`,39 / <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �,�TO If yes, a special event permit is required with Police Department and City Council approva! <br /> 60 days prior•to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events ivill not be allowed. <br /> NAME OF OWNER: �o�lrf � L;t�v� �d 2� � PHONE: (home) `�S 2` 7/, �'7'/Z <br /> (work) <br /> MAILINGADDRESS: �'�j 75 Nq��.,y�� -�'L�ITY: 2 ZIP: ��,3q/ <br /> CONTRACTOR: P Qsmry Lp�t .`, PHONE: yS Z'Y`l,3�76 Z.� <br /> CONTACT PERSON: Q ,�.�./ MOBILE/PAGER: (�/2- `��'� — O.TB <br /> MAILING ADDRESS: !m y� r� CITY: ZIP: Ss39r <br /> STATE LICENSE: # 8G- Z,O!3 /�!(o EXPIRATION ATE: 3/o`j <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 ma require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��,Q,��� �e%se�' ��"�i�2� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �O,�io ,v� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wiil be in confarmance with 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: .S B � <br /> 31 <br />