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� <br /> t <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: I�'I,�� �q,�'K ���.. �p; `�3 < <br /> Will this be�P{a''rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes I /1�iV o If yes, a special event permit is required with Police Department and City Council approval <br /> T � <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��J� C�cran PHONE: (home�� W 7f �$7(0 <br /> (work) <br /> MAILING ADDRESS: �y.3 5� �,,r'I� �� CITY: ��v,� ZIP:�i�-L <br /> CONTRACTOR: _�Pli�iN.�' �u.+1 l�c�"•w��`� PHONE:�L�'3 �o.? a?/r�(, <br /> CONTACTPERSON: L�.,�,„; �/ ,.-o�,ti MOBILE/PAGER: /,�? g�� yG8�3 <br /> MAILING ADDRESS: l/v4 /�{�s` Lit! /I C CITY: �,.,,, Lcf kc ZIP: .'�`�iy <br /> STATE LICENSE: # ��/q3 p�/ EXPIRATION DATE: �-31- pq <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 detain: ��,�,�- %h d- ,}�s-I��( G 52�iJ�`�@ ��,.- iv� <br /> ��'.,�52 �' �S �� Q � ��.� � � S�ir S ^ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTAE�IED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �;��'�7� <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: ���- � 'U � <br /> 31 <br />