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A <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 O CONTRACTOR <br /> JOB SITE ADDRESS: oZ ��t-��4� Lw_ 1,-9 /,r<c , M� ZIP: 5 3s� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes N NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bits service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: Mog r v M c Cc,rfh PHONE: (home)`l s;--4 76-Yso6 <br /> (work) <br /> MAILING ADDRESS: : 95 t'-a.�kej ��,c CITY: ",,j:4 ZIP: <br /> CONTRACTOR: /Cl.,.Q,..,e51 rev�'n>v s,d1'�uc �.,;��o�s 14THONE: ?63-4.77-9G`76 <br /> CONTACT PERSON: n e. MOBILE/PAGER: <br /> MAILING ADDRESS: 3fl' CITY: ZIP: - Ss 6 <br /> STATE LICENSE: # ,bo I o.-7-7 EXPIRATION DATE: 3—3f-a6 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration t_� <br /> PROPOSED WORK(describe in detail): 'Te..,j- tie vd-F /_a oyc cu,� <br /> 9 C't`-I:ge <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED tj DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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 />