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� <br /> Total Fee: $ (� �i ��� 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 /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �c�y� I���!�� /t(;' � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a specraf event permit is required with Police Deperrtnaent and City Cozmcil approval <br /> 60 c�ays prior to the event. Shuttle bus servtce�a�ill be reqa�ired unless applicant dernonstrates <br /> s:fficient on-site parking is availab(e. A�on-pern�itted eve��ts will not be allolved <br /> NAME OF OWNER: �� �'►� 1�'` c' <br /> `l � �'� K �c�� PHONE: (home) � '�'�-�c:'. �. <br /> _ (work) <br /> MAILING ADDRESS: ...�����i-� CITY: ZIP: <br /> CONTRACTOR: �,1�� �� �r�: r�c E� t'���i'� ��C t PHONE: �, I�-�� �-�1�L`/ <br /> CONTACTPERSON: C. >>�< �1c,� MOBILE/PAGER: �,. � }- ��3 � -�(f,���' <br /> MAILING ADDRESS: :=��.�=; ��.-3y '"C � CITY: �;�,r r��:�c �- ZIP: _;5 c 7Q <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: KEGISTRATION: # <br /> TYPE OF WORK: New Home Addition _ Accessory Structure <br /> Move Home �Remodel/Alteration'(ie: Siding, Windows ` ` ,; ��� n-eY <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(desc�•ibe in detain: �i z'c�r t�c.,��� ��=���:��-�t: , 'l,�. ,ti1 n�r <br /> � � K�'� � �: / '�t� CL�i G"+ ,, � .-�t� r 1�\ <br /> STORIES: ` St�.FEET OF EACH FLOOR: • <br /> NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHED <br /> l� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ,��'C% � <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 Ciry 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 wi II be <br /> in accordance with the approved plan. <br /> ' , <br /> APPLICANT'S SIGNATURE: � � � � DATE: �- �' � �' <br /> JI <br />