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h <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 al/information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> --- - ..._ <br /> THE APPLICANT IS: (circle one) OWNER OR `�ONTRACTOR <br /> _ __ ..----� <br /> _._ <br /> JOB SITE ADDRESS: �U j(� ��r v�'cw ���� ZIP: <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 approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: ��, v t S , �,.,S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �✓7U �����'zw ����� CITY: (�V�� G ZIP: <br /> CONTRACTOR: �;c�c�C Z�lt � CU tiS•-� . PHONE: ��� -�v��-s"a�3� <br /> CONTACT PERSON: �l'J " =� � �� " MOBILE/PA�f ER: �/,2 - ��� - s-�.3� <br /> MAILING ADDRESS: /p 5'2c, �� �' � •2 � CITY: ��J�/c�✓/�w.1 ZIP: S�3�� <br /> STATE LICENSE: # 2 c�S 2�.2 5"� EXPIRATION DATE: 3/3�/ p� <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 F('�rmits ! <br /> PROPOSED WORK(descri tn detain: � .w T �' ��c j� � r„� oi,,,�y <br /> S C �-f-��, s �v� �c'v-c%� �� �c ,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,3G U C�, �� <br /> I hereby 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 of the City and with the State Building <br /> Code;that I understand this is not a permit and�✓ork's not to start withou�ermit;and that the work will be <br /> in aceordance with the approved plan. ;��•� �_—� � �,�- � <br /> APPLICANT'S SIGNATURE: / :'�, ' DATE: � '� (� <br /> 31 <br />