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. <br /> Total Fee: $ � � DateReceived: 02 a <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 al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �6 � l\� 1� J`1"V�V`� 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 zs r�equired with Police Department and City Cotrncil approval <br /> 60 days prior to the event. Shi�ttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be a/lowed. <br /> NAME OF OWNER: �`�7 7� CfU� � 4���� PHONE: (home) ��� - ���J�(J'�'Q� <br /> ( ork) <br /> MAILING ADDRESS: ll� w�a� �ITY: �l 1MGLl IP: � <br /> CONTRACTOR �l 5 � �G'^5�V�� 1��, PHONE: � 6 - L ��fS�O�°� <br /> CONTACT PERSON: �p�O.w� �� �— MOBILE/PAGER: <br /> MAILING ADDRESS: 5-1 Y� '�v�us-�y�iA 1 ,�CITY: i'�ZIP: �3 S�� <br /> STATE LICENSE: # '�a y`7 EXPIRATION DA E: <br /> _ <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 MCW review and permits! I <br /> `�C S 1�'�c S� � � � � 1 UL,Q �!k � 1 <br /> PROPOSED WORK(describe in detain: �YU�� , <br /> � �I '' /�4�A 1`K� �a�� s �, t� �+- s t�,G �c-� S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3�� �a� � � <br /> —� <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�vith 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: �2� • • DATE: � <br /> , . ,� <br /> 31 � ' <br /> :_;;,,�.k. <br />