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i <br /> 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 /> (pleuse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR �� <br /> JOB SITE ADDRESS: ` ` (D �' ��D�7�l �i��_'� ��ZIP: <br /> Will this be P ade of Homes, Remodeters Showcase Home or other Display Home? <br /> ❑ Yes �TO Ifyes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior lo the event. Shuttle bus service will be��equired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � �Cf PHONE: (home) <br /> MAILING ADDRESS: � ��� J�O /�CITY: ��'�'ork) <br /> � �'���R'o ZIP: <br /> CONTRACTOR � ��, U D� PHONE: ��Z �-�?Z ^,S'/7 Z� <br /> CONTACT PERSON: e �� ILE/PAGER: _(�"/—cf` �—,Z fZ <br /> MAILING ADDRESS: �S,S'c� v ���-ITY:�o v�v� ZIP: s�:�� � <br /> STATE LICENSE: # � �O EXPIRATION DATE:[� -- D� <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) C <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: � o.� �� <br /> � m vT' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �19p ^ <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: ��'� -- ��0� <br /> 31 <br />