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Total Fee: $ . �� Date Received:`-' �l � � <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 R CONTRACTOR <br /> JOB SITE ADDRESS: � I� �/V��� � : 7�P: .��3� . <br /> Will this be a P�ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes "�jNo If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available, Non permitted events will not be allowed. <br /> NAME OF OWNER: �y� n /'�J �G�.,`'/CQ PHONE: (home) ��' - 0 ��� <br /> (work) �o/�- 3 0� 7—�77 � <br /> MAILING ADDRESS: �f �� ���f���� n�, CITY:��O►v�0 ZIP: ���j'�6 c� <br /> CONTRACTOR: ��� �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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�: '�Qc J� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> o� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ' <br /> I hereby apply for a building permit and I acknowledge that the information above is compl 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 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: � ( � � C� <br /> 8 <br /> 31 <br />