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Total Fee: $ Date Received: <br /> Entered By: Permit#• <br /> Y <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 O CONTRACTO <br /> JOB SITE ADDRESS: 2 !�' 3 5- d 1- B 6 4CAcff " ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes E-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: -�1� c �a C-LT 6 PHONE: (home) S 2- y7t- ?s'5' 9 <br /> (work) <br /> MAILING ADDRESS: 2 -5-3 S 000 �#e-l-r "CITY: ZIP: S-5'3 g t <br /> CONTRACTOR: e,64tk(NS PHONE: 7Yq2- YO-15- <br /> CONTACT PERSON: (-44- AC s2/c(,V5 MOBILE/PAGER: <br /> MAILING ADDRESS: -k2Yi !lA""efb f-1060 " CITY: /PI- Y0+oGtz1-t ZIP: <br /> STATE LICENSE: # 2 0 1 96 9 S9 EXPIRATION DATE: 3 - O 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(describe in detail): lLo c� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 6, O 3 <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: ��-e_ ��- -=� DATE: 2 1-O <br /> 31 <br />