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I <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 pri�it all informatio�t) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle oize OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �Z-�� �jc�.(��e,� C4v.f�- �Gr�-� ZIP: SS3(p�- <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specia!event per•mit is re�ciir•ed tivith Police Department aysd City Coirncil approval <br /> 60 days prior to the event. ShTrtlle bus ser•vice�vi1l be reguirect zrnless applicant den7onstr•ates <br /> si fficient on-sile parking is available. Non-pernritted events will not be allowed <br /> NAME OF OWNER: � \ �� PHONE: (home)�S�Z- ��2-Cj�S� <br /> (work> -1 Z- � Z- 1 b� b <br /> MAILING ADDRESS: ��a� ����,� �� � CITY: �c o�� ZIP: -�� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> NMA i�.ii��A�DRLSS: CI'i_'�': ZIP: <br /> NAM�: 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 detcri�: A�a� c,�- �,��_ �L-���,� — <br /> `e - 5���.�c� <br /> STORIES: Z SQ.FEET OF EACH FLOOR: Q �,� \Z v� S F <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED �Z <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� �U� rv��l,�..\���o,�;� <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 conformanc with the ordinances nd codes of tl�e City and with the State Building <br /> Code;that I understand this is not a p r�nit an work is not start without a permit;and that the work will be <br /> in accordance with the approved plan. '�. <br /> APPLICANT'S SIGNATURE: �� -- � DATE: � � Z �-C�Cv <br /> 3t <br />