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A0 <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 CONTRACTOR <br /> JOB SITE ADDRESS: /�� !�����'y� ZIP: J� r� <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 will not be allowed. <br /> NAME OF OWNER: PHONE: (home) 4,2 a7 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 6,fyOTmm 41e� PHONE: C(r,1.;7-) �2-1-7" <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: zla 80K 9.33 CITY: le-1 i ZIP: <br /> STATELICENSE: # Igc EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: YR" PHONE: <br /> MAILING ADDRESS: 2qo N f r A✓� CITY: ZIP: / <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) X <br /> PROPOSED WORK(describe in detail): �"�' <br /> (y-v��✓T f��y�� <br /> STORIES: v2— SQ.FEET OF EACH FLOOR:�'�'� - `76Dy �-• - fao <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / VS 000-aa <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 SIG <br /> 31 <br />