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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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 47t-)5- C t! L f ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes INo 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 /> sz fficienton-site parking is available. Non permitted events will not be allowed.W <br /> NAME OF ONER:/�V ' PHONE: (home)`lo -V <br /> -S??3 <br /> MAILING ADDRESS:6 OI� t Lie° CITY: C • ZIP: <br /> CONTRACTOR: U .s • (1)-- CL ( S_t -_ Li PHONE: 6(2- ??2- <br /> CONTACT PERSON: ,v e PVIOBILE/P GER: (o/2- /- 008 <br /> MAILING ADDRESS: q2/ 3l'a -sP'. W CITY: = J,,IP: S-3-to-1 <br /> STATE LICENSE: # ySC 2©22 4/1 EXPIRATION DATE: a <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 movemen may requi MCWD rev ew and permits! <br /> PROPOSED WORK(describe in detail): 6 fOrkte i <br /> STORIES: IiSQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED X DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ &bola• `'`) <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 pla . <br /> APPLICANT'S SIGNATURE: S-1512-- DATE: / <br /> 31 <br />