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� <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 ONTRACTOR <br /> JOB SITE ADDRESS: �7�U �� G�U�( �� ZIP: S.� <br /> Will this be�arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special even[permit is reqa�ired with Police Department and Ciry Council approval <br /> 60 days pr•ior to the event. Shz�ttle bz�s service will be reguired unless appdicant demonstrates <br /> sz�cient on-site parking is available. Non-per•mitted events will not be allowed. <br /> NAME OF OWNER: V�3�J�(/� ��,�5` PHONE: (home) �� Q�� ° <br /> (work) �— <br /> MAILING ADDRESS: 1��� S' �oD(� �- CITY: ��dµd ZIP: �s3 <br /> t <br /> CONTRACTOR: S�� � � �S PHONE: �v2,��,�- <br /> CONTACT PERSON: !�'l k� �^ MOBILE/PAGER: g�.Z�� �l S"- <br /> MAILING ADDRESS: (ol�o �r'llt�a/c - CITY: /1���,�caG��s� Z P: �� <br /> STATE LICENSE: # ao��-l�'I 33,5- EXPIRATION DATE: 3 �7� 4(0 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory S�ucture <br /> Move Home Remodel/Alteration �� <br /> r <br /> PROPOSED WORK(describe in detai�: � !� � le��o�� <br /> STORIES: _� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHEI) I)ETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���0 v' <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 ork is not to start without a permit;and that the work will be <br /> in accordance with the approved pl n. <br /> APPLICANT'S SIGNATURE: DATE: l� �� <br /> 31 <br />