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r <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 ptan review will be started. <br /> (please print all information) � <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTO <br /> JOB SITE ADDRESS: ���D /�arT���'��O ZIP: SS�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 will be required undess applicant demonstraies <br /> sufficient on-site parking is available. No�permitted events will not be allowed. <br /> NAME OF OWNE : � j d��� ��/��j� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:���U�On?7-��i�,at I�a�CITY: �,f'vr�o ZIP: 5535� <br /> CONTRACTOR: L�fn c�i PHONE: 7h�"7g����� <br /> CONTACT PERSON: , ��� MOBILE/PAGER:�/z-z-Z/--?z3`� <br /> MAILINGADDRESS:1$sa 9/' �vd�� , .�. //D CITY:��l�ii��' ZIP��� S�/�� <br /> STATE LICENSE: # �a��7 7h EXPIRATION DATE: a 3 O <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 ma require MCWD review and permits! / <br /> PR/OPOSED WORK(describe i detai�: fi��o C� � Gt/2 n CfT�.c?� <br /> G�'� �!'?o� i%' ih %� ol�.r5, � �D v�Gr/vYz� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETAC�IED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 25 6 �`� <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 w' out a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: "G�'-O <br /> 31 <br />