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. , <br /> r <br /> Total Fee: � Date Received: ��) � � �U� �� <br /> Entered B}�: Permit#: � (����_` ��� <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION � <br /> Alt information must be submitted in full before plan review will be started. <br /> (�ilease print a[1 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: ! t�j ��f��Z v;�r� � Z^ �i`Cv,� f�(1'�-� ZIP: 5� �J� � <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 ivith Police Departrnent and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: S'v��� r'i��� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:�Y��S�c��,�`j 4� �;��,\(1�v�s PHONE: L I,� `(�( —C�?'� `/ <br /> CONTACT PERSON: ,� ,,�,�r(�) (�r��v-� MOBILE/PAGER: <br /> MAILING ADDRESS: ��u� ��.��.;,,t i�va j ��� CITY: ( ZIP: lSkU� <br /> STATE LICENSE: # ��U,��55�55��� EXPIRATION DATE: 5 " L.� <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�: ����^�-e���� �(�y(����t-S c:,,,��L (.�;��E,<<1 (��- �(��n���5 <br /> KY'i�t�1�G Y�.'f����v E::� '� �J,'�S l;IGC., � �l✓l V I '4\Y.v���.. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHEll <br /> � � <br /> ESTIMATED CONSTRUCTION VALUATION(exduding land): $ ��rj� � � �-� <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[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:� I� DATE: � � � �� �� t <br /> 31 <br />