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4 <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��� L sh l,c��d( � ZIl': Sr��� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑NO If yes, a special event per•mit is required with Police Department and City Council appr-oval <br /> 60 days prio�-to the event. Shzrttle bzrs se�vice will be reqtrired unless applicant demonstrates <br /> sti�cient on-site parking is available. Non pennitted events will not be allowed. <br /> NAME OF OWNER: ����c t�l S� PHONE: (home) SSI-- �-�o- �C P! <br /> (work) <br /> MAILINGADDRESS: I�� S�. c,.....t �c CITY: a�'�,� ZIP: S� <br /> CONTRACTOR: 5-�-�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIR.ATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodeUAlteration <br /> PROPOSED WORK(describe in detai�: rir�,.� G�,,,,,,,,� i\�v L,v.� S�ix�e . <br /> STORIE'S: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S`OUc� <br /> I hereby apply for a building pemut 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 pernut and wo 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: S' 3�-�� <br /> 31 <br />