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' 4 I ` <br /> -� <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 /> __ �.__-----__.-��. <br /> THE APPLICANT IS: (circle one) OWNER OR C NTRACTOR� <br /> �. _� <br /> JOB SITE ADDRESS: � �1 Q� �f���W�O(� ZIP: �JzJ �CI � <br /> Will this be�P/arade of Homes,Remodelers Showcase Iiome or other Display Home? <br /> ❑ Yes ��No If yes, a special event permit is reguired with Police Department and Ciry Council approval <br /> 60 days prtor to the event. Shuttle bus servtce will be required unless applicant demorrstrates <br /> sufficient on-site parking is avaidable. Non permitted events will not be allowed. <br /> NAME OF OWNER: PHONE: (home) �1 a' � '�f�� <br /> MAILING ADDRESS: ��� SLI.� � � CITY:(��/(�-1.(� (W�ZIP: �S- �J f <br /> CONTRACTOR: � � �(UV�' �'1�-PHONE: �/� ' ��'�7� <br /> CONTACT PERSON: OBILE/P GER:(p f a •3a�-�r7� <br /> MAILING ADDRESS: � CITY: (.� ZIP: �31 "� <br /> STATE LICENSE: # a(�(���-{—] EXPIRATION DATE: 3r- 31 - O�i <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 movemen� m�ay'lreq�i,�e �WD review and permits! <br /> PROPOSED WORK(describe in detain _� �-v�-r O�'�'al- ���D� �Q �Y� � <br /> —� <br /> STORIES: _� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ L�(J � <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: DATE: ���'� <br /> 31 <br />