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Total Fee: Date Received: f - <br /> Entered By: Permit#: j <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) OWNS R CONTRACTOR <br /> JOB SITE ADDRESS: -3 HYD RP.. ZIP: (o <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 0 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: (�,,>N, Qo t-LL./L PHONE: (home) R S2-q?,by Lf 21 <br /> (work)lia-�6g-o�� <br /> MAILING ADDRESS: 3 2 9 o UJ P,i�2To w nj QCITY: Lor 6 L4 Kt- ZIP: �3 S- <br /> CONTRACTOR: S t_f::� PHONE: <br /> CONTACT PERSON: C''�Rr2ti Co Lt_ 1Z_ MOBILE/PAGER: <br /> MAILING ADDRESS: 1} o\j CITY: ZIP: <br /> STATE LICENSE: # 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) <br /> PROPOSED WORK(describe in detail):T p,--r^vo_� 3 S PO a-c W Pr o 0 <br /> frorn BV_trCW (LwCLose�') tG Fvcrrro tri . <br /> STORIES: I— SQ.FEET OF EACH FLOOR: q -3 0 <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATTACHED DETACHED= <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3(f-5,o o o <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: <br /> 31 <br />