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;� <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: '�va 'L�-R�c �T. ZIP: �S3'S(a <br /> Will this be a Par de of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes lo !f yes, a specia!event permit is required with Police Department and City Council approval <br /> 60 days pr�ior to the eve�t. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is availabde. rVon per•n�itted events tivill not be allowed. <br /> NAME OF OWNER: KE v'J � • ���'D�E1—� PHONE: (home)fo�Z -�`'1�'35�{� <br /> � (work) �Z- �7�-3�i( <br /> MAILING ADDRESS: lo�d'1 �``��� ��C - CITY: ����l��E� ZIP: 55 3 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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) <br /> Any earth movement �qy require MCWD review and permits ! <br /> PROPOSED WORK(describe in cietain: Ac� o� S<<��� ' �C�� ��*� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION excludin land : ��� �r'� <br /> ( g ) J <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wi(1 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�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: -�P/�^"� `�"l ATE: �1 � ��� <br /> 3t '�J <br /> c !SS �� �/�i N I�"y�/!/J /�i A/A� //V5� �/ . <br /> �. � --1� -� ���-- <br /> � <br />