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, <br /> �� � <br /> Total Fee: $ . Date Received: d �� <br /> Entered By: Permit#: � �o�/ / <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: � ��� �v��� �r/'c.v� �v 7�p; <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �A�e 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 reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��JD� 1C 6 C l� PHONE: (home)�tI�'S� �-��°L� <br /> ,(� (work) <br /> MAILING ADDRESS: l��� �cu�G �U u,` �J,� CITY:D���� ZIP: <br /> CONTRACTOR: /)�wT✓uar� � o� �� �ovs � PHONEc 9��-���(��Q�{� <br /> CONTACT PERSON: � ° S�G, �, MOBILE/PAGER: ..5�,,�„ ,.,r <br /> MAILINGADDRESS: /7S-g 5 �,,./;,�` � CITY: /„J��o,,,���, ZIP: ���g� <br /> STATE LICENSE: # �D�!`J'q g`�' EXPIRATION DATE: ��3a 'o� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CTTy; �p; <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: ,.�in� Qp✓'c (� <br /> STORIES: I Q.FEET OF EACH FLOOR I �P <br /> NO. OF BEDROOMS� GARAGE STALLS: ATTACHED DETACHED�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): �/l0 �(�U <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: _�-�-4� � <br /> 31 <br />