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. � <br /> 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 revie�v will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTO <br /> JOB SITE ADDRESS:�(o� h eG� ,�f c� � ZIP: 5�3��0 <br /> .�-- <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, 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 reguired unless applicant demonstrates <br /> su,f�`'icient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �i�r► S�� ��-rr►-� PHONE: (home)_/'/',2-IaZ3--��� � <br /> (work) <br /> MAILING ADDRESS: p�� !i cc�,S�re�` CITY: �o►,. t�-t ZIP: 3S� <br /> CONTRACTOR: v' ! !tl-SZl � n CO k�PHONE: 7�3-S�I,j:�3/`�7 <br /> CONTACT PERSO : re G. w.. MOBILE/P GER: �)- 'J"!8'-6� �' <br /> MAILING ADDRESS:/7�.5' � 01 CITY: ZIP: ,�''l/�P7 <br /> STATE LICENSE: #�S"� EXPIRATIO DATE:`�� 1 _�� <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) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in de in•r' ' l�!�.v <br /> ` a �� t�r �4�� Q� � � � �4, -0 ,- �. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,� � i <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'SSIGI'��iTURE: DATE: __9/�-4� <br /> 31 <br />