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r ' <br /> � <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 CONTRACTOR <br /> JOB SITE ADDRESS: 1 Sa 1 l��'�r�i�✓ � ZIP: <br /> Will this be a Parade of Homes,Remodelers S6owcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su,f,�'icient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��/lvNl s� S PHONE: (home) �5������ <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: � <br /> CONTRACTOR: ��� �77Y'�� PHONE: 1��2—L/�70'��7� <br /> CONTACT PERSON: C� MOBILE/PAGER: <br /> MAILINGADDRESS: - S7 2U'lv.�W/'a����s CITY: S ZIP: /,(, <br /> STATE LICENSE: # �Q � Z 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) —1�a���G <br /> Any earth movement ma require MCWD eview and permits! <br /> PROPOSED WORK(describe in detai�: � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���3�l17� <br /> I hereby apply for a building permit and I c hat the information above is complete and accurate; <br /> that the work will be in conformance wit ordinances a odes of the City and with the State Building <br /> Code;that I understand this is not a pe t d wor ' to st without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DAT • ��2 2� <br /> E. � <br /> 31 <br />