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� <br /> � ` <br /> i <br /> Total Fee: $��J ����=��-'-������ DateReceived: ������' � <br /> Entered By: � Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full befor.e plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �3� �/c.`>�.��J l Jc') ' r� jj' ZIP: � ' � � <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 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: j�C( V/�' I�e�S� ;� PHONE: (home)�_3�'.5=7'3,S.S" <br /> (work) <br /> MAILING ADDRESS: ?.3jr�e//Gl� Pl' /1 fZ CITI': c:�'3��1rc ZIP:��;�1 <br /> CONTRACTOR: Uv _F�S7iYti ��/1/.S�f-Si�f>- PHONE: �E;,�� S'�/-03�� <br /> CONTACT PERSON: ���� a MOBILE/PAGER: � <br /> MAILINGADDRESS: �'lo /3Tyi4 V� � CITY: ir%y �'/Tj�IP: ,S'�j'%�/ <br /> STATE LICENSE: #���s',,���' EXPIRATIO�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�: �f�� �1,1 j���/,�f ��- �,�J�.-,.>,��"�� <br /> STORIES: / SQ.FEET OF EACH FLOOR: � �` <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTAC ED DETACHED <br /> /._- !�--. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �=��, �; y <br /> I hereby apply for a building permit and I acknowledge that the infarmation 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 and 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: ���. � ��-�1.-//�/�1 DATE: �' ?��' �`�' <br /> �� <br /> 31 <br />