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' Total Fee: $ ��'G ' D� Date Received: 3-'��� 7 <br /> Entered By: Permit#: �. /pBjr�_ • <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 ONTRACTOR � <br /> JOBSITEADDRESS:�I�O '��'���,N 1 (� 0 �X�.�G.L.SIO�ZIP: �� �3 � <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 Departnsent and City Council approval <br /> 60 days prior to the event. Shuttle bus service wi[1 be required unless applicant demorrstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: � �tL, S S`1� L �,� PHONE: (home)��,�•y�11 •O�}9� <br /> �p - (work)_�1�- 8 41-�I 7 l�7 <br /> MAILING ADDRESS:�,13 O ��1��'E,(�S (a 1�T CITY: 'E.X C E L S l0 4� ZIP: �� <br /> CONTRACTOR: o W tu�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIItATION 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 Remodel/Alteration (ie: Siding,Windows) �_ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: C o t� , C,A j V�1 ALtit -1 t� C L t� g�__i' '1� � <br /> dA"5' l�\0.00r� - AQD S ��nW"E� 'CO �I.t i � S � NK <br /> . • <br /> STORIES: � SQ.FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: �-- GARAGE STALLS: ATTACHED DETACHED_ <br /> E5TIMATED CONSTRUCTION VALUATION(excluding land): $ �} � t5 r, '� <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: e DATE: � , "�� -d � <br /> 31 <br />