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Total Fee: $ -. ��� Date Received: �/�-2-��,(' <br /> Entered By: Permit#: ���j��,� <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 /> -- �--------� <br /> THE APPLICANT IS: (circle one) OWNER O�/CONTRACTO <br /> y�.._------� <br /> JOB SITE ADDRESS: � f�O _/��i �I y�p� (,�,.Q y ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O If yes, a special event permit is reguired 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: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��.� ��(2h O i N � PHONE: �l�3�q�3�� <br /> CONTACT PERSON: 1Zc�p /,�rM��%�� OBILE/PAGER: ��� '364'����-� <br /> MAILING ADDRESS: q7� /�r`' .��� iv CITY: �/�Kcc�co�G� ZIP: SS�i4/� <br /> STATE LICENSE: # �o/ SsS G 6 EXPIRATION DATE: �� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> PROPOSED WORK(describe in detain: �e ���� '�' $ �.,¢f1 C�S "��c.i � � <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ _ ' ��C� �fD�� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in conformance with the ardinances 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: - DATE: ��c� "'�S <br /> 31 <br />