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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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �S� C����Po��/i�'�t1'" �/�. 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 tivith Police Deparinzent and City Council approval <br /> 60 days prioi�to the event. Shuttle bus service will be requi��ed unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitfed events will not be allowed <br /> NAME OF O WNER: �t K e �� �,���j�� PHONE: (home)%S'Z"97�v"�g� � <br /> (work) <br /> MAILING ADDRESS: $�� �o�����f�=,,�— �,�_ CITY: L�'d'��/�� ZIP: <br /> CONTRACTOR: /��C?� C�. N� Z Gt C= PHONE: 7(�� S'��J -�Q44 <br /> CONTACT PERSON: ��G�h MOBILE/PAGER: <br /> MAILING ADDRESS: �9� �Fj l,t1P•' ��. CITY: �%PC1ii2�t ZIP: S�.S'�3 �' <br /> STATE LICENSE: # 2 c /7 Z j 5 3 EXPIRATION DATE: CI Y <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 /> PROPOSE�WORK(describe in detai�: <br /> lPk:��_c��� ��l.�7��C�� /L�PGV �OO <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��: D 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 ordinanees and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work 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: ��"�"� � <br /> , <br /> �' <br /> (�� 3] <br />