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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 i-eview will be started. <br /> (please print all info�•m�tion) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (cil�cle orze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��aCj �r���� � /J. <�N�, 1��/��or,�; ZIP: `�S 35� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is requir�ed wit/i Police Depc�r-tment and Ciry Coarncil cappr•ov�al <br /> 60 davs pr�ior•to the event. Sl�uttle bzrs se�vice tivill be required znaless c�pplicant dernonstrcates <br /> su ff cient on-site pcarking is available. Non permitted eveiits will not be allowed. <br /> NAME OF OWNER ����,�,�, �,�,� PHONE: (home)°7s�z 4 7� �y.z <br /> (work) <br /> MAILINGADDRESS: �va.e, �,77,,>� ,Q�,Q ;�. CITY: ZIP:553s� <br /> CONTRACTOR: �-,.�';,�-,1 ��,�;�N=� 5.�4,..�-. �U. a.�<,,�. ����� PHONE: ?�s�4:��-��i��c <br /> CONTACT PERSON: �e,•e C !t�� �, � MOBILE/PAGER: <br /> MAILING ADDRESS: ��� �F-���;��,� ��;,��, CITY: C l-�<,��Ji,,•: ZIP: -��3:� <br /> STATE LICENSE: # .�c�o i c:�7� EXPIRATION DATE: 3- �/ -��c_ <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(describe in detai�:���; �r�-T �,,..E t ;-r ,�,�-� h� ,,�, ��.��,� �� •,a��C 34�� <br /> S'I'ORI�S: SQ.FEE'I'OF EE4C'I���,OOR: <br /> NO. OF BEDROOMS: GARAGE STALI.S: AT'I'ACHED DETAC�IED <br /> ESTIMATED CONSTRUC'TION VALiJATION(excluding land): $ 4�C�,_3`Y <br /> I hereby apply for a buildinQ permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the City and with tiie State Building <br /> Code;that I understand this is not a permit and work is not tu start without a perniit;and that the work will be <br /> in accordance with the approved plan. <br /> /, <br /> APPLICANT'S SIGNATURE: ��� DATE: 7� �-L � <br /> `' <br /> i z, <br />