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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) OWNERQOR CONTRACTOR <br /> JOB SITE ADDRESS: ,sgo ✓�`L�.�.l� !ti k �� ZIP: <br /> Will this be a Par de 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 /> �y W'% �'�Z`^ PHONE: (home) �'�j �"� ‘ <br /> NAME OF OWNER: )c <br /> w� (work) <br /> MAILING ADDRESS: ,j 1;0 Q k CITY: 0v-fr— ZIP: <br /> CONTRACTOR: / <C /40 A' PHONE: .76 75-7 -006� <br /> CONTACT PERSON: f��a��.% & MOBILE/PAGER: <br /> MAILING ADDRESS: /Y 9./y '.✓� . S]. it/L,-1 CITY: c•- ZIP: <br /> STATE LICENSE: # d 3 g'e ? a3 EXPIRATION DATE: off' <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 /> PR POSED WOR(describe in detail): /colic•� ����. >`L ,`c eN•R 74-‹.-. <br /> Cdot e_ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): �0c a <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: 7---Ar—,,rc'7X"'"--- DATE: // *_ U2 <br /> 31 <br />