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4 <br /> 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 2 S (J/// : d( ZIP: S S.S J4 <br /> Will this be 31Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes lid 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: "` > i //Yr, 4/12(7,PHONE: (home) ,V73- <br /> %'4(work) <br /> MAILING ADDRESS: ,X.-2 SW-1) /4,) Or , CITY: Or Jnl ) ZIP:,j S-) <br /> CONTRACTOR: cy c, IC 6e-"t 1, /a '� �� PHONE: &", j,;Z <br /> CONTACT PERSON: S Z <- / MOBILE/PAGER: 96—2, 9,0-•$iS%3 <br /> MAILING ADDRESS: 1037 C., Rd. k); Op CITY: <br /> STATE LICENSE: # -2-s`/l EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition AcRessory Structure <br /> Move Home Remodel/Alteration <br /> • <br /> PROPOSED WORK(describe in detail): Sl„ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED lJ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ' er-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. 4 <br /> Ir. <br /> APPLICANT'S SIGNATURE:A /�� //J � DATE: /, 4, ‘,26' S <br /> 31 <br />