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Total Fee: $ Date Received: JI • 2��� <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 O ONTRACTOR <br /> JOB SITE ADDRESS: _s��Q ����� � ZIP: ���J� <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 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 /> su�cient on-site parking is available�Non permitted events will not be allowed. <br /> NAME OF OWNER: ��� <JU��� PHONE: (home) <br /> (work)— <br /> MAILING ADDRESS;O�IQ7� ��n� ( �D CITY• n�b ZIP: � <br /> CONTRACTOR �S rt+v S G• PHONE: �J2^'��ia.�� <br /> CONTACT PERS N: OBILE/P GER: D� <br /> MAILING ADDRESS: � CITY: ZIP: � <br /> STATE LICENSE: # '?j�)Z. EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) <br /> Any earth movement ma require MCWD review and pe its! <br /> PROPOSED W RK(describe in detain: 1� `�11��T� <br /> ,� ce2_ � [+�.��5 f��t2 '�- �'C�tr� ��1to� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ,�J G � <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ dti ✓ ' <br /> I hereby apply for a building permit and I acknowledge th t the information above is complete and accurate; <br /> that the work will be in conformance with e ordinanc s d codes of the City and with the State Building <br /> Code;that I understand this is not a permit d work is o to s ithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE• DATE: <br /> �� <br /> 31 <br />