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r <br /> Total Fee: $ '11111,0'11111,0 Date Received: <br /> Entered Ey: Jn ,i✓'M Permit#: f�{) �(! <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) 4WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: Zg� V\� IC0. ZIP: S <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, 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 /> sufficient on-site parking is available. Non permitted events ill not be allowed. <br /> NAME OF OWNER: ? -k + PHONE: (home) 1 <br /> -Vb* <br /> (work) { <br /> MAILING ADDRESS: CITY: LOl( ZIP: '1 <br /> �S'G <br /> CONTRACTOR: YEA/\ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: bW rQ^ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration c <br /> PROPOSED WORK(describe in deta'n: / d Q -,P, S �( 1 GGC7 Vj <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply fora 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 />