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, � �} � a.��� <br /> ,-� ; �,.. l", <br /> > _ <br /> � �� � , � <br /> Total Fee: � , ^ ,. Date Received: �✓� 7 �� <br /> Entered �y: ' Permit#: <br /> �O � DOO �� <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 CONTRACTOR <br /> ,........_...._. <br /> JOB SITE ADDRESS: � �'� �, �.�V��� ZIP: x���.7�'l, <br /> Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No Lf yes, a special event permit is required with Police Deparbnent and City Council approval <br /> 60 days pr•ior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su ficient�n-site pa�-king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � � PHONE: (home) <br /> (work) <br /> MAILING ADDRE S:���.�1�3�I� CITY: ZIP: �_ <br /> CONTRACTOR: � ' � � PHONE: t���Z �'�( ��� <br /> CONTACT rERSON: MOEILE GER: �,I�I�� <br /> MAILING ADDRESS: ' �� —. �. CITY: � ZIP: y�� <br /> STATE LICENSE: # `Z��ZZt^3�,C�� EXPIRATION DATE: `�C`��� <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/ lteration (ie: Siding, Windows) <br /> Any earth movement may,�reqi`ire M�CWD review and permits! <br /> PROPOSED WORK(describe in detai�:�� �(�•_a 7C`Z-rj � ��1 - t�jj� <br /> 'l '� <br /> � <br /> STORIES: -�SQ.FEET OF EACH FLOOR: _ �� �_ <br /> NO. OF BEDR OMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ��, <br /> _�1— <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 pen i d wor ' not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU ATE: O <br /> 31 <br />