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. • <br /> Total Fee: $ Date Reoeived: <br /> Entered By: Pem�it#• <br /> CITY OF ORONO- BUILDING PERMIT APPLICATION <br /> All information must be submiited in full before plan review witl be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��O 6 7 �'c�r U ��.►,,.' �- v` . ZIP: � 5 3S 4� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes �NO If yes,a special event permit is required with Police Department and City Council apprrnal <br /> 60 days prior to the event. Shuttle bus service witl be required unless applicantdemonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �-�,b-r ��( R• 1-��► � I'Z.� 1 PHONE: F,.5-�.-a)`-f-3'� �j I <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 1 i S S 7 A(�c Y �� N:,J CITY: L���� 12��:�T ZIP: S�"�/'1�'' <br /> 5TATE LICENSE: # �G S S v v J�1 EXPIRATION DATE: 3-- 3 i- ,���;rl <br /> ARCHITECT/ENGINEER: /V//=� 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) Q� ��� . <br /> Any earth movement may require MCWD review and permita! <br /> PROPOSED WORK(describe in detait�: �h s k.�I n�� 2c�� . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S ����✓�' � <br /> I hereby apply for a building permit and I acknowledge that the informarion above is complete and accurate; <br /> that the work will be in conformance 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: ��ATE: �-//- �� <br /> 31 <br />