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r <br /> 3 <br /> Total Fee: $ 9D� o� Date Received: 7 <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 ONTRACTOR <br /> JOB SITE ADDRESS: _�SC -RZ ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes LR No !f 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 will not be allowed. <br /> NAME OF OWNER-_2 &&2.�'­ PHONE: (home) OS33 <br /> ------7 (work) <br /> MAILING ADDRESS: ),otj _CITY: ZIP: 3 <br /> CONTRACTOR: ", PHONE: <br /> CONTACT PERSON: OBILE AGER: <br /> MAILING ADDRESS: tY, �,iiHr��Y CI ZIP: <br /> STATE LICENSE: # /,S32�, EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 14--A PHONE: (�IoZ • ���33 <br /> MAILING ADDRESS: I C>D , CITY: M PL:S, ZIP: '�S <br /> NAME: r d REGISTRATION: # <br /> TYPE OF WORK: New Home A dition Accessory Structure <br /> Move Home emode Iteration (ie: Siding, Windows) <br /> Any earth moveme t ma r q ' x WD r w alpeYmitaN, <br /> PROPOSED WORK(describe in detail): <br /> Aq <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 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 p <br /> APPLICANT'S SIGNATURE: A DATE: % <br /> 31 <br />