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,, , . <br /> Total Fee: $ ��,�� Date Received: � �� Z�L� <br /> Entered By: (',�'�'I Permit#• .�1� ��-Q <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[l information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��� /J'l�1P�� �-��"�— ZIP: S 5 3 ..�� <br /> Will this be P�rade 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 will be required unless applicant demonstrates <br /> suffccient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER (J�V�� � o��tfs��� �`' PHONE: (home) F�i�— ?9'y'-3=Y'�'�/ <br /> (work) �!->--77�--��Z z�' <br /> MAILING ADDRESS: �`f�� ✓�Yl�'�� � /� CITY: ���-�%� ZIP: s s 3�� <br /> ��- <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 may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain:j��;� �G� G,��y� n,.�' �, ,.,�s� �� t <br /> G�^ ,�vt-v S�-�> i�s <br /> STORIES: �- SQ.FEET OF EACH FLOOR: %1�� <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED_(� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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 SIGNATU . �- DATE: 9' /�—G�" <br /> 31 <br />