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Total Fee: $ • Date Received: <br /> Entered By: RD Permit#: <br /> Lam`► U- I10IT <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) t OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: p_ -t cS-- W 4A-d 4cu✓n K4zl. zip: 5,S-3 <br /> C5 (-0 ✓_o AAM ' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes WNo 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: M t (� 'F�' C t PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: d?1C=4j,�'-r}t'..1n CITY:O/V na ZIP: S^� <br /> CONTRACTOR: -iqf 'Aej PHONE: QT1-y4l <br /> CONTACT PERSON: 5 CD'ft MOBILE/PAGER: 6 86(^c18 i G <br /> MAILINGADDRESS: 10631_ m•.^-6-64A NOCI CITY: oQ ZI : sS-3q <br /> STATE LICENSE: # 1 3 a EXPIRATION DATE: 3 3 t <br /> ARCHITECT/ENGINEER: 56A-2 GS Q�K47De4 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration r <br /> PROPOSED WORK(describe in detail): RQ�a 2L �. i Q�. 'L^e d <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3Z 0&-) <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: d <br /> 31 <br />