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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 wilt be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��L/� �.p l,vr�� L��,�� ZIP: SS 3�y <br /> Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No !f yes, a special event permit is required with Police Department and City Council approva! <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: .�Q�� ,O�H S 4� PHONE: (home) Q 5 Z Y)�.�,3 �' 0 <br /> (work) ��3-sS3 -7133 <br /> MAILINGADDRESS: t1�I�' w�a �c�a(Q � CITY: G. _ZIP: �(Lx <br /> CONTRACTOR: SP � � -- �ca�cnti.c� PHONE: �S�-' �17�=13q� <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 may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: R� - �a0� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACFIED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $f �'1 d <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'S SIGNATURE: DATE: ���— O G <br /> 3t <br />