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j r <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 /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 5� �S L`�G,g�2 �f'� � 7�p; -SS-��f� <br /> , <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonrtrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ����'�5 /����� �s PHONE: (home)���- �7��2 y <br /> (work) <br /> MAILING ADDRESS: ��/�� CITY: C�c�a ZIP: SS� <br /> CONTRACTOR: /`YG�'G-�i hG�� �C�����c/l S PHONE: TS3. 537�S/�, <br /> CONTACT PERSON: �G 7�/���, MOBILE/PAGER: 5.��� <br /> MAILINGADDRESS: S �� /� ��i�, CITY: ��S>sG ZIP: � .�S�Z �i <br /> STATE LICENSE: # z G/. / �-- EXPIRATION DATE: <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) c�o <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: ��� /Poc� f' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> oQ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ y�� � <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 /> APPLICANT'S SIGNATU -�'-�'""`!� DATE: �1��� �Q�' <br /> �r <br /> 31 <br />