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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 /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: 2� �o[/ah�,P�- ��X ZIP: S�-3g <br /> Will this be a P�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �iNo If yes, a special event permit is re9z�ired with Police Departnzent and City Council approval <br /> 60 days prior to the event. Shirttle bus service wil(be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events wi/l not be allotived. <br /> NAME OF OWNER: ���+��,r �e0�Soh PHONE: (home)Q <br /> (work)61 Z 8'0`/ 8725 <br /> MAILING ADDRES5: CITY: ZIP: <br /> CONTRACTOR:/�' w o , Si ' .� PHONE:7(�3�y2�-�6 9�0 <br /> CONTACT PERSON: �tr�se � tit MOBILE/PAGER: <br /> MAILING ADDRESS: 3l3 Jr�'��'SOM 11u y CITY: PLi.a.�/ih ZIP:SS3/� <br /> STATE LICENSE: # 2 oO J o 2'�� EXPIRATION DATE: 3 =3I'' 6� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame 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 detain: <br /> Tf�r o'm t4- 1�'r roe'� �ovse f��t��1 S9 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��� $��7� � <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��ith the State Building <br /> Code;that[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: ��'�"�� DATE: - - O <br /> � . 31 <br />