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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 9 R CONTRACTOR <br /> JOB SITE ADDRESS: 4l 1N162.. )Q02-44 ZIP: S35 6 <br /> Will this be a P•rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 45 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: ilk Il LIAAt\iv tu PHONE: (home) 6)a 28 t 31 <br /> (work) RSA YO'( 21,0' <br /> MAILING ADDRESS: 4l t)it.1it' T4 CITY: gzorvo ZIP: 55356 <br /> CONTRACTOR: Se-I PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New I2 Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 4.PCA W 4 12-CCC: <br /> STORIES: 3 SQ.FEET OF EACH FLOOR: 41 - 12 6 v A. (26Do <br /> NO. OF BEDROOMS: 14 GARAGE STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SO <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 c/s- <br /> 31 <br />