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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: � � � J l�.�l� (�-1 N�E� ZIP: �S��G <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 required ivith 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 allowed. <br /> NAME OF OWNER: N'l.�'rL(� ���•�p PHONE: (home) <br /> (wark) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:�f J,F. C����(�-� L��- PHONE: 5 S� -4 7�-- (,S �y <br /> CONTACT PERSON: 13 �-� MOBILE/PAGER: �I J--$6 7-3l t -7 <br /> MAILING ADDRESS:Id��S�S��Si4��,,,�,,,-,.��- �_j� p,-. CITY: �1� �vtv��i^�S(�ZIP: SS��y <br /> STATE LICENSE: # S-�,.%�� EXPIRATION DATE: y - D �3 <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 detai : S'��, Y �} � <br /> � n j t-�`�ti ;�- ��J�j4 vr, <br /> -t- ��,�;=2,� ��"" <br /> STORIES: SQ.FEET OF EACA FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> J`> <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, ( � v <br /> I hereby apply for a building permit and 1 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 tart without a permit;and that the work will be <br /> in accordance with the approved pla <br /> APPLICANT'S SIGNATURE: DATE: �`� � � �`� � <br /> 31 <br />