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� - <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informaYion 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: , � � � , ZIP: �� �j <br /> 1 �1�t` 1�� �--� �r��•�� <br /> Will this be a P rade of Homes, Remo�et�rs Showcase Home or other Display Home? <br /> ❑ Z'es 1�0 If yes, a special event permit is required with Police Department and City Council approva/ <br /> 60 days prior to the event. Shuttle bus service 1vi11 be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: _�� (J�y,,,-� �-2�-�-e�^ PHONE: (home) Gj�Z -�/�S_ ��, �/ y <br /> (work) <br /> MAILING ADDRESS: �j.�`� �r�,����-,,�� CITY: ��y��� ZIP: _4��� (O <br /> �-������� <br /> CONTRACTOR: � <br /> �w� '���e..- Co•1��-�-�`'rl�-� PHONE: _�/2-�q�, -Z l�'t / <br /> CONTACT PERSON: �����-N �,,g ,�J MOBILE/PAGER: 7) <br /> MAILING ADDRESS: 25,��, f�v,�1 �7 J' CITY: �o,,�.S� ZIP: ��;3,��/ <br /> STATE LICENSE: # �?�� ,���� EXPIRATION DATE: ,�r-t�,�tr � � �� <br /> ARCHITECT/ GINEER: PHONE: <br /> MAILING ADDRE . 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 re re MCW review d p rmits! <br /> PROPOSED WORK(describe in detai�: �� �,r. ��� •��� '� �,��-, �C i-� - -� <br /> � <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �L — <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 wark 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 /> .`-- <br /> APPLICANT'S SIGNATURE: DATE: � -� <br /> 31 <br />