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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 O CONTRACTOR <br /> JOB SITE ADDRESS: �I D U �p(A,(��F �`_� ZIP: ��Sr � S <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �TO Ifyes, 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: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: (��1.(����S(M �(�(/Vl 0/1 vl t I _ �-L C PHONE:�I(1��3�O-' S I U I <br /> CONTACT PERSON: G OI�t� �� MOBILE/PAGER: 5 <br /> MAILING ADDRESS: 5N 1 U�wt�S A���-� CITY: Qo b 'Nsd.�I�7�P: S""�I�7-- <br /> STATE LICENSE: # �O.�I�I(��( EXPIRATION DATE: 3 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 RemodeUAlteration(ie: Siding, Windows) <br /> PROPOSED WORK(describe in detain: (�'- f2Cy1 �- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ 7 l�� D00� � <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: � �`� o <br /> 31 <br />