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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 al!infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: ���� GJ`e,��1 �i I'�eE'S' /�OQU ZIP: 553� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'eS �No lf yes, a special event permit is required with Police Depnrtnrei�i and City Council nppr•oval <br /> 60 davs prior to the everat. Shuttle bus servrce ivil!be r•eqa�ired unless applicant de»zot�strates <br /> sa�ffrcient on-st�te pai�ki��g is available. Na�-�er�n�ittecl enents lvill not be allotived. <br /> NAME OF OWNER: (����e_ �N���u /�CLnC"C� PHONE: (home)�� �z -C��B�G� <br /> ` T (work)�J5 2 2/5 S"Oz� <br /> MAILING ADDRESS: /-�J ��i0✓� CITY: ZIP: <br /> CONTRACTOR: � ��t ��� �("� PHONE: ��i/'Z 7l6 ZS�S <br /> CONTACT PERSON: /hr '1? �� MOBILE/PAGER: <br /> MAILING ADDRESS: , � �• 'G CITY: Gt fi�-� ZIP: ;i�l <br /> STATE LICENSE: # 2 02 712 i l EXPIRATION DA : <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDKESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration (ie: Sidi�ig, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�:�� p�P_C k � �����! <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(escluding land): � �� �Od <br /> � <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�eith the State Building <br /> Code;that I understand this is not a permit and�vork is not to start���ithout a permit;and that the�vork���i II be <br /> in accordance with the approved plan. <br /> APPLICANT'SSIGNATURE: j�,�__ DATE: �� Z4`�6 <br /> �t <br />