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� � � �-C�.� c� ���/b� , o�DD� �OD`� <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 all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �J���2�C�U i���1 � ZIP: �� <br /> Will this b�arade 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 evenl. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed. <br /> If r-c�� ��l <br /> NAME OF OWNER: 1r � t-�n PHONE: (home) �i�• -7-70. � lc�� <br /> � (work) � <br /> MAILING ADDRESS: �� ��j�'�� CITY: ��/'�,Q ZIP: � <br /> CONTRACTOR: ��S v��S � PHONE: C�(�.•�I�(• � I� <br /> CONTACT PERSON: w�s MOBILE/PAGER: � (�(���q•�(,� <br /> MAILING ADDRESS: � � V , CITY: �1Q��ZIP: <' ����- <br /> STATE LICENSE: # S��{ � EXPIRATION DATE: �• 31 • otOD�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 (' . idi indow ) e��� <br /> Any earth movement may r quire MCWD revie and perm� S�k'k1�1���� <br /> PROPOSED W (describe in detai�: ��� � � `� <br /> � <br /> V�Kee�r <br /> STORIES:C I���� SQ.FEET OF EACH FLOOR: <br /> NO. OF BED O MS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding tand): $ ��j, ��. � � <br /> I hereby apply for a building permit and 1 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 wark 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: � � 'D � <br /> 31 <br />