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Total Fee: $ Date Received: 7 "��� <br /> Entered By: Permit#: /�D 980/ <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 ihformation) <br />------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) <OWNER)OR CONTRACTOR <br /> � .i:- -� C <br /> JOB SITE ADDRESS: ���� 1-'�������I� .'�� • ZIP: ) )J 1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special eveivt permit is reguired with Police Departnze��t and City Coiancil appr•ovu! <br /> GO days prior to the event. Shutt/e ba�s service will be required i�nless applicant demonstrates <br /> sufficient on-site parking is available. tVon-per�initted everrts will not be alloived. <br /> , /� � `� <br /> NAME OF OWNER: ► � � V/ 1`' � !�. P ONE: (home)S 5Z �-1 �I ' "�O Z S <br /> ����._;.,�1) (work)L)Z SCk"�i -�i 2���1�� <br /> MAILING ADDRESS: �}�� � -�. � ���1�� ' ` t-�- -' �� <br /> � 1�, � .��,�.}�� ��. CITY: �> > � ZIP: <br /> CONTRACTOR: ���,07�"'�''� �'''���.j���L�.:. j PHONE: <br /> CONTACT PERSON: OBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYP� OF ORK: 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 detain: I ir� '� �`-� ��ll�:,,i �,».� �'-� 4 r�,�< r'���:.iL <br /> •�- r�,` ��C,��''� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): �_Z ��l <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 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 /> � I r. ' (, / <br /> APPLICANT'S SIGNATURE: �� ', �� �`�` ��' DATE: '� -I � ��.� �' <br /> 3l <br /> , ,, <br /> � <br />