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�+ <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 /> JOB SITE ADDRESS: �������c��C >/`, ZIP: <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 reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: C� n� PHONE: (home) �2^ 1^a17SC� <br /> (work) <br /> MAILING ADDRESS: ���j �VJJ� CITY: ZIP: <br /> CONTRACTOR: �(���_��G ��C—(� v� ,Oh�r, PHONE: (���ZG�'�'�2 <br /> CONTACT PERSON VQ MOBILE/PAGER: _� c,�-r�E <br /> MAILING ADDRESS: T k/� CITY: �ti- ZIP: O S� <br /> STATE LICENSE: # ��'q � Z,_'EXPIRATION DATE: O <br /> r> <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 re ire MCWD review and permits! <br /> PROPOSED WORK(describe in detain:��C�l� ^�p , /�Groo � .!' ,c,� <br /> STORIES: �I SQ.FEET OF EACH FLOOR: 'gG� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED� <br /> O_0 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 5�d � <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: ��L%�%'G�''� DATE: <br /> � <br /> 31 <br />