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� Total Fee: $ Z.�-� • L-�- Date Received: ��- � Z��°`=' <br /> Entered By: �I� , �1�Zg-< < �4 Permit#: �`r-=� �4 <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) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: � ���Z7 �� 1q V�. !�} > ZIP: S S.�S� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ijyes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: l3 f�� (hV� Cc,'�f f ► �o� �q r� PHONE: (home) ��15�-�/ -D��S <br /> (work) S�- �,58-��Q 3 <br /> MAILING ADDRESS: I ���� �� �V� N- CITY: �� �r�u ZIP: .SS`'S <br /> CONTRACTOR: N�� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CIT'Y: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � �j� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) <br /> PROPOSED WORK(describe in detai�: l5 G � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACAED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7� (,���(i <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: /�;i,.� � � DATE: ��� �-1/U$ <br /> � <br /> 31 <br />