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r <br /> t <br /> Total Fee: $ Date Received: <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 /> (plecrse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cir•cle one) OWNER OR CONTRACTOR <br /> • . . � - <br /> JOB SITE ADDRESS: � � � � � � ;1����S`�`� � �� ��`�� ZIP: � � �3 � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event�ermit is r°eguir•ed tivith Police Depnrtment and Ciry Council approval <br /> 60 days pr•ior to the event. Sharttle bt�s service 1vi1!be reqa�ired zinless applicant demonstr•ates <br /> sufficient on-site pnrldng is nvailable. Non-pe��iriitted events wi/l not be allo�ved. <br /> ,�j � `� t c <br /> NAME OF OWNER: ��% � � ( c � � \�` PHONE: (home) �� � �5 % - � � �� ' <br /> , (work) <br /> MAILING ADDRESS: j/ �� _ J �-�,<-� 4 . . � i` �CITY: �,��-����� ZIP: <br /> CONTR.ACTOR: ��l(J��' F� ��. � �� � ��(,� PHONE: �L �' - �'7`i - F�1�._ <br /> CONTACT PERSON: !�r�t C" < < c a.�, MOBILE/PAGER: <br /> MAILING ADDRESS: �/`1 S'� �%��,� ������ ,.• c 5 r CITY: �'l ��i; /-(,�.,.ZIP: �:����� s� �� <br /> STATE LICENSE: # ��z / % EXPIRATION DATE: �- i �� � <br /> ARCHITECT/ENGINE�R: PHONE: <br /> P�E�`ii�i'i`rrv�'�'�.c��: �i�i: ?:P: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Hoine Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(descrihe in detain: '%c-� � c. . F-'� �� - ;- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S � `�, �� ` ` <br /> I hereby apply for a bui lding permit and I acknowledge that the information above is complete and accurate; <br /> that the work will 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�voi i t to start without a pennit;and that the work�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNA'TURE�" � �,��'.. �=s DATE: � �'� � � ���� <br /> 3l <br />