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Total Fee: $ Date Received: <br /> Entered By: Permit#: ,409222- <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 /> THE APPLICANT IS: (circle one) OWNER O CONTR,�CTOR <br /> JOB SITE ADDRESS: U40 ?�wt`•� ZIP: <br /> Will this be a Parade of Homes,RemodelersShowcase Home or other Display Home? <br /> Y es ❑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 M�Dh�E <br /> sufficient on-site parking is available. Non permitted events will not be allowed. LVAJR <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: rCKo ✓E KES PHONE: 96*2 • �• 01'39 <br /> CONTACT PERSON: %AS* �,AX%LywT MOBILE/PAGER: b IZ tela • i2Z'q <br /> MAILING ADDRESS: l&J4 fd A42ArA 1,#1 CITY: ZIP: 1jr` <br /> STATE LICENSE: # 7.923 0%12 Z. EXPIRATION DATE:LJ14' y - <br /> 0; . ; 1 • oc. <br /> ARCHITECT/ENGINEER: ''" PHONE: <br /> MAILINGADDRESS: CITY: ... ZIP: .._ <br /> NAME: REGISTRATION: # *%- <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): NbE' <br /> ty 6L. <br /> .. <br /> STORIES: L- SQ.FEET OF EACH FLOOR: 040 Z1 S7 <br /> NO. OF BEDROOMS: 6' GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): f ( O QOd <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: 2 Z • p� <br /> 31 <br />