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Total Fee: $ Date Received: <br /> �:ntered 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 inforna�rtion) <br /> --------------------------------------------------------- ----- -- ---------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER ¢R CONTRACTOR <br /> JOB SITE ADDRESS: y ;� ��' �=v�e �= .� ; ���<� r��,ziP: .s� a—.� � % <br /> Will this be a Pa►•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �No If�-es, a special eve�at pe�niit is re�uir•ed witli Police Depaf-trnent and Citv Co�incil approval <br /> 60 dats pr•ior to the event. Shuttle btrs se�vice tivill be reqTiired tniless applicant dernonstrates <br /> s�r�cient orz-site parking is available. Norr pern�iitted events will��ot be allowecl. <br /> NAME OF OWNER: -_lc�� �,7 C1. �c�c,I cr� f;x-r PHONE: (home) r s"� - �' ��. �,3_;�,z�� <br /> (work) <br /> MAILING ADDRESS: y�Zi� rv ;�� %�,A�C� ,v,�..CITY: U�o�v� ZIP: _;'�'".I c y <br /> CONTRACTOR: 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 Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(dese�•ibe in cletai�: f2 +,_ - �c:-c';;= � ) v a ,�.re,. ,/� <br /> 5'I'ORIES: � SQ.FEET OF EACH FI.00R: <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED � I)ETACHEI)_ <br /> h <br /> <:�, <br /> ESTIIVIA'I'EI)CONST1tUCTI01�i VALIIATION(excluding land): $ �C3 c��� — <br /> I hereby apply for a building permit and I acknowledge that the inforniation 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 perniit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � ��� C� � � � DATE: J- (/- c� � � <br /> �, <br />