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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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��c 7 S �-�/�ir f7'vp ZIP: .S�S� <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 with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service widl be required unless applicant demonstrates <br /> sufftcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER DO U. (a � PHONE: (home) - � -�?�� <br /> MAILINGADDRESS: ��� �7� ��lc (work �S�y� <br /> fl CITY: ��n o ZIP: � <br /> CONTRACTOR: �p�g /V [e �a/t � PHONE: �p/a-�/g�5��� <br /> CONTACT PERSON: ' ( MOBILE/PAGER: <br /> MAILING ADDRESS: Z/„� � c��Z ,�J�/e CITY: �y-�„t a ZIP:l�'�.Ss3�'� <br /> STATE LICENSE: j ✓� � 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 requi e MCWD review a d permits! <br /> P OPOSED WOR (describe in detain: ¢pjt�; �� ��� �/�y�7� ���,d S" <br /> . � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��SOD � <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 /> 0 <br /> APPLICANT'S SIGNATURE: DATE: ���,3ra00� <br /> 31 <br />