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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 paint all information) <br /> THE APPLICANT IS: (circle on�ej)� OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ( � s / tc, 4� �� �r ZIP: <br /> Will this be a Para of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o 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: G�E-' <br /> �r� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: T-rt"f T11CITY: Q-J"Qyap ZIP: _ S� <br /> CONTRACTOR: PHONEi7 �j �s-�S'vZ 7 <br /> CONTACTPERSON: �'o MOBILE/PAGER: p?;C�¢� �+ -7 <br /> MAILING ADDRESS: SCITY: G � I/ IP: !( <br /> STATE LICENSE: # 24���f yla.�2 ( EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) 1---' <br /> Any earth movement may re ' re MC D review an p rmits! <br /> PRO SED WORK(describe in detail): <br /> cz <br /> STORIES: Z l� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 _ GARAGE STALLS: ATTACHED DETACHED_ <br /> a0 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � OC-4!39- <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 pl <br /> APPLICANT'S SIGNATURE: ATE: ® 1��9^/� <br /> 31 <br />