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. <br /> 'Total Fee: $ DateReceived: <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 /> (plense print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle one) OWNER OR CONTRACTOR <br /> JOBSITEADDRESS: '��Q ��JCI��c���I f ZIP: s,35 �' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No /f yes, a special event perrnit is r•eqarir•ed tivith Police Departn:ent a»d City Co:rncil approval <br /> 60 dnys pr•ia�•to the event. Shutlle bars servrce 1vi/1 be reqerired unless applicant demonstr�ates <br /> su�cient on-si�e parlcing is m�ailable. Non permitted events�vill not be al/otined <br /> NAME OF OWN�R:,/�-f��j-F�P ��4i2�I PHONE: (home)�5a� `f 7��U7U� <br /> (work) �S�- y73� 7//S <br /> MAILING ADDRESS: �Og ,�d4C'��e. ��/ CITY: (��j1��� ZIP: �� <br /> CONTRACTOR: �Q�'� • PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STAT�LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: Ne�v Home Addition Accessory Structure <br /> Move Hoine Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD xevie and permits ! <br /> PROPOSED WORK(rlesc��ibe ifr detain: �^M�v�r�s�2- ��'�-(Z@-� �U r�� ��j h� �c� I t� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALL5: ATTACHED `� DETACHED <br /> OU <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �; �0 C� �"f <br /> I hereby apply for a building permit and I acknowledge that the information above is comp(ete and accurate; <br /> that the���ork���ill be in confonnance with the ordinances and codes of the City and with the State Building <br /> Code; that I understand this is not a permit and���ork is not to start without a permit;and that the work��ill be <br /> in acco�dance ��ith the approved plan. <br /> APPLICANT'S SIGNATURE:�'"��%C�� �� DATE: 'S '� �� � U � <br /> ;� <br />