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. <br /> Total Fee: $ Date Received: � �m <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 NTRACTOR <br /> JOB SITE ADDRESS: � ZIP: �cJl <br /> eCr�V.1f� <br /> Will this be a arade o omes,Rem�elers'/S�howcase 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 /> NAME OF OWNER: �j[� �j�j✓lpl,�j� PHONE: (home)�2� -���J?' <br /> �r (work) <br /> MAILING ADDRESS: oC.LD�L� ���q�TZ �CITY: ZIP: 53�� <br /> CONTRACTOR: �2_1S( S �-►.�C� PHONE: ��Z.-�-�'-71�� <br /> CONTACT PERSON: ° MOBILE/PAGER: --� <br /> MAILING ADDRESS: CITY: �'@�ZIP: `r� /7 <br /> STATE LICENSE: # EXPIRATION DATE:�3/3�Dq <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 POS�D WORK(de cribe in detai�: <br /> � ��� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DF,TACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $� � � <br /> ������_ <br /> I hereby apply for a building permit and I ac owledge that t 'nformation above is compl�e and accurate; <br /> that the work will be in conformance with t ordinances d odes of the ity and with the State Building <br /> Code;that I understand this is not a permit d work is not s without permit;and that the work will be <br /> in accordance with the approved plan. � <br /> � <br /> APPLICANT'S SIGNAT DATE: <br /> 31 <br />