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, c�. � -�-� ��s 4 e �C'�--- <br /> . � � <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 /> -- _,:...,..-..,,_._...__.._..__ <br /> THE APPLICANT IS: (circle one) OWNER O�CONTRACTOR <br /> _.......__.__.. <br /> Jos siTE avn�ss:�aa� �tla�l�� � �/�� zir: � 3 ! <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'eS �a If yes, a special event permit is required with Police Department and City Counci!approval <br /> 60 daysprio��to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAMEOFOWNER: '��L 1�1J�c,e�0�� PHONE: (home)� ,� �` �o-�v <br /> (work) <br /> MAILING ADDRESS;�a/U�ih�Gtol,Q��CITY:Cl>G4� ZIP: ���_/ <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ����2�- �;( - � r�---f- 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 y require MCWD eview and per its ! <br /> PROPOSED WORK(describe in detai�: ��po-� ,� �c'�� �� l ���1j <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ f(�,Ob7�. � <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 st without a permit;and that the work will be <br /> in accordance with the approved plan. ,-' <br /> ,'' G��� <br /> APPLICANT'S SIGNATURE: ' DATE: _ � I —v� <br /> 31 <br />