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. �. ' R � � <br /> � � Total Fee: $ ��, � Date Received: g- 9-� <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 O CONTRACTOR� <br /> JOB SITE ADDRESS: J��y���� ��`� �� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allotived <br /> NAME OF OWNER: ��. 1�„�° � � � PHONE: (home�� � �,�;��,�J <br /> (work) �----- <br /> MAILING ADDRESS: ��7� ,�y�. ��'y��CITY: � ZIP: <br /> CONTRACTOR: j���Yh.;��t�I ��'j«`"; 1'��(' PHON i 7- � '�',,�O�l' <br /> CONTACT PERSON: - OBILE/PAGER - ��� � ,� <br /> MAILING ADDRESS: �y} ; � ' CITY: •' ZIP: <br /> STATE LICENSE: # �_ EXPIRATION DATE: ,3 �' �f �-� <br /> ARCHITECT/ENGINEER: �" PHONE: ---` <br /> MAILING ADDRESS: -----�- CITY: ZIP: r—�. <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 ermits ! <br /> PROPOSE�WOR (describe in deta' : � <br /> p � � I �' ' -, 1 /�°'L/ <br /> STO E� �V � 'SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ p�.l ��' � �- <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 /> Z <br /> APPLICANT'S SIGNATURE: ''� DATE: �" 'Z'1 <br /> 31 ND ?�N/rt1� /7-�Z/L� /'G�,�`y , <br /> / <br /> ��' �N LY�S �Oest< <br /> :� <br />