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Total Fee: $ Date Received: •� � Z�� � <br /> Entered By: Permit#: ��1 , <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review wilt be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOBSITEADDRESS: �� �_-'�j l,L!��/� C,�AG.L 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 Ciry Council appi•oval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will nol be allowed <br /> NAME OF OWNER:�o�=-b S'I�cLLy ���SIL--Y PHONE: (home) �7�''-��f `l• `�� `��' <br /> c:.t�% .{�C) `7�0 3 -�.2�s-`I� `t T <br /> MAILING ADDRESS: 1 �7 00 ��-� ���L ti ciTY: �(y��u7`v, ziP: ss�r�7 <br /> CONTRACTOR: ��psS�t/r�g� �- �•�SZ� PHONE: 7�� ��� 7S � �B� � <br /> CONTACT PERSON: ..�G�K MOBILE/PAGER: C�l�� y�� l�l� <br /> MAILING ADDRESS: �� (o ��5� (�UL �-' CITY: �(�X��z.-�� ZIP: ss��� <br /> STATE LICENSE: # ��o O- �3 3� EXPIRATION DATE: m o..:-��, �� <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(describe in detai�: , ('�, <br /> �i <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��Q�� ��.�� �o�A-L. <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 ardinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and wor is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S�IGNATURE: llATE: IYi,4 y - �, - �� <br /> 31 <br />