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Total Fee: Date Received: C7 O ZS <br /> Entered By: Permit#: a_ <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: � Nr�—� C�� � ��+. ZIP: 65V <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 unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: Ne Mt.�Cw,c. 1 nP, PHONE: (home) Lfia_C612 <br /> (work) <br /> MAILING ADDRESS: � CITY: ZIP: <br /> CONTRACTOR: ,v�.�� F ` <br /> �c �r;c� �l�. PHONE: <br /> CONTACT PERSON: t�h.lp, SrkLns,cC MOBILE/PAGER: 6,a 17n 2lu2 <br /> MAILING ADDRESS: cz3..?lo CITY: M ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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(describe in detail): ,,,,, ,A_ ` <br /> is <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `C <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 d wor is not to start without a permit,•and that the work will be <br /> in accordance with the approved plan. Ij <br /> APPLICANT'S SIGNATURE: /,, DATE: - <br /> 31 <br />