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1 � <br /> . ' <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 /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �/S ��7`��<<a�70/"� �l'�IP: �s��� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No !f yes, a special event permit is reqa�i�•ed with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wild be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER ,l0-e �.2 S� PHONE: (home)9,j.?-�7.3�SS� <br /> � � (work) ,---� <br /> MAILING ADDRESS: �S/� /�/Orr�S arc_ �ITY: D/�0�/d ZIP: Y� <br /> CONTRACTOR: ! DU� �� PHONE: ���-y�3—:��� 7 <br /> CONTACT PERSON: S MOBILE/PAGER �- /'�'�OS G <br /> MAILING ADDRESS: �Z �'�' � CITY: �iv ZIP: 5__S�� <br /> STATE LICENSE: # S 3�� EXPIRATION DATE: 3- 3�"� 7 <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(describ in detain, r' 2 � �� <br /> ✓z ,.'' /:�.� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 37OD°� <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 Bui(ding <br /> Code;that I understand this is not a permit and ork 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: ������ <br /> 31 <br />