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1 ...- <br /> Total <br /> RTotal Fee: $ Date Received: - <br /> Entered By: Permit g: <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: /6 /12, ," L 17,1, ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes E 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: /%. ; 4 7e/),'w g PHONE: (home) <br /> ✓ (work) <br /> MAILING ADDRESS: /104 tpc-u CITY: kip ZIP: <br /> CONTRACTOR: /2sn ,4'h is h'a PHONE: 763—arg-a y7s <br /> CONTACT PERSON: /707 MOBILE/PAGER: /,i - S8/ ao�6 <br /> MAILING ADDRESS: 448) 2Sfh Tf .Stili CITY: aviv,/y ZIP: 5-,SiQG <br /> STATE LICENSE: # / 25:4" EXPIRATION DATE: .7- / - l <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration / <br /> PROPOSED WORK(describe in detail): p e c ;de e fl' !J r K� lett,ce <br /> CZ' til C1 cZ HCl' <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: /4 d <br /> NO. OF BEDROOMS: i GARAGE STALLS: ATTACHED d DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2 s`i dd�i <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: „� ���f�� DATE: --/c e3.31 <br />