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Total Fee: $ Date Receive q �S <br /> Entered By: YL.. Permit#: g(igX <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: 4/;;,L S / (f ZIP: _S'--c 3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> [1 Yes 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: )`A„ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: yG43-- ac,rst Ai,PA-ch A-, CITY: ZIP: _575-33-‘,, <br /> CONTRACTOR: 1-2/,/, 6,t PHONE: 7G3 ,';77- <br /> CONTACT PERSON: Ff, d MOBILE/PAGER: - 9?"' <br /> MAILING ADDRESS: P D 1s'vr 77 CITY: c ZIP:_5-5-.3.7h- <br /> STATE <br /> s3.7hSTATE LICENSE: # EXPIRATION DATE: <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 <br /> -'PROPOSED WORK(describe in detail): re ‘,,/e/ / i a,•�� •J�!v�.c' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ _ 5 <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: .5/2/c7.5-- <br /> 1 <br /> os- <br /> 31 <br />