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Y <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 /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: ����,�� rY�'1c,(..�, YYI,'V 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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demorestrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��,��, s j `� PHONE: (home � 6� <br /> (workr -� - �j� <br /> MAILING ADDRESS: (� �Q CITY: ZIP: <br /> CONTRACTOR: ��.�0(���Q PHONE:�Z- �'�' ( ✓Z <br /> CONTACT PERSON: MOBILE/PAGER: — <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: I�LI� 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 /> PRO OSED WO (describe in detain: <br /> l � <br /> STORIES: I�� SQ.FEET OF EACH FLOOR �� ��� 2�(e,�G, <br /> NO. OF BED OOMS: GARAGE STALLS: ATTACHED I/ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���' 1�.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 SIGNATU : DATE: ,Q "1,2'�� <br /> 31 <br />