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�� <br /> 11�� � I ( Q��� <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 ii2forrnation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��o�� �c� l� �r'ew �P✓%�,%c� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event perrnit is rega�ired with Police Department and City Counci!approva/ <br /> 60 days prior•to the event. Shzittle bus service will be re9zcrr•ed unless applicant demonstr�ates <br /> sa fficient on-site parking is available. ��'on-pei•mitted events tivill not be a!lotived <br /> NAME OF OWNER: _(���,y;� ��i%c�,�s� PHONE: (home) %S���y�3 yyG 7 <br /> (work) <br /> MAILING ADDRESS: �x��G L��� ��`�w� � c�rr�:c�CITY: �°�� L��ICk ZIP: <br /> CONTRACTOR: �, �< <. �,�-�� � �Cr �5�- �c� PHONE: ��:�� �G/ Y5���j <br /> CONTACT PERSON: S�e� p�� �K l�a c M BILE/PAGER: <br /> MAILING ADDRESS: ,t�, ���� 3�� CITY: �-�%cA v�Y I,,, ZIP: �!� <br /> STATE LICENSE: # �C�; � �S, � EXPIRATION DATE: �/5 j��r <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORI{: New Home Addition Accessory Structure <br /> Move Home Remodel/Altecation (ie: Siding, Windows) <br /> Any earth movement may require MCwD review and permits ! <br /> PROPOSED WORK(describe ir:detcrin: re rc.c ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding landj: � (q SS(��� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wili be in conformance with the ordinances and codes of the Ciry and with the State Building <br /> Code;that I understand this is not a permit and���ork is not to start without a permit;and that the work wilt be <br /> i� accordance with the approved plan. <br /> APPLICAIVT'S SIGNATURE: i DATE: �'��—�� <br /> �t <br />