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. <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 al!information) � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- r-- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB siTE an��ss: ��7�� � `���w n 1.�:KQ (Zc�«cf z�: 55��5� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � 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: �C�.1�6 ��t K�5 PHONE: (home�h� " y75'r���y <br /> (work)�5;� �-��� -S�`1�o.`j- <br /> MAILING ADDRESS: �77(v �� �fDw�� ���� �-C� CITY: �n�;� Lcr K� ZIP: "SS 35� <br /> CONTRACTOR: �CI�(?fe,r� � • ��+►��,r �u• PHONE:��_5� '�'?� "�Gy�'D <br /> CONTACT PERSON: ��t, • n��K+ MOBILE�PAGER: <br /> MAILING ADDRESS:(p`?5 � i�15 �± �i I v�� CITY:�,n, ZIP: �5 3y 3 <br /> STATE LICENSE: # �_� .�3� �E• ) EXPIRATION DATE,.3J3� /C� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> PROPOSED WORK(describe in detai�: ��.� ��t'_nt � -�i.�-r' V���G��.vS <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ f? O �c� <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 perinit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� \ DATE: �"—�6�O a7 <br /> 31 <br />