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, <br /> � ' <br /> � <br /> �I D�O Total Fee: $ � , O DateReceived: �'���vb <br /> Entered By: Perm�t#: a0 � ( <br /> o?oo�-- D o�3 <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 /> -- �...___. <br /> THE APPLICANT IS: (circle one) OWNER, R CONTRACTOR <br /> JOB SITE ADDRESS: C � � � � 6Z- �/� ` � ��-l1%�IP: ��� � � / <br /> Will this be a P de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS NO If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demorrsb•ates <br /> suff cient on-site parking is available. Non permitted events will not be a[lowed <br /> i ` <br /> NAME OF OWNER ��� - � PHONE: (home) ��� � U / �1�o <br /> r � (work) C e�/ <br /> MAILING ADDRESS: CITY: C��L d " � ZIP: 3 <br /> �� �—�� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: -, c � � MOBILE/PAGER: <br /> MAILING ADDRESS: _�-r---� CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame Addition Accessory Structure �J <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WO K(describe in c� <br /> ��—` -� � C'd � <br /> � <br /> STORIES: �_ SQ.FEET OF E FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(exduding land): $ (��� <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 I understand this is not a permit a�work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> ; <br /> APPLICANT'S SIGNATURE: � �-� DATE: <br /> � / �� <br /> 31 <br />