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Total Fee: $ Date Received: - <br /> Entered By: Perznit#: <br /> CITY OF ORONO - SUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prifzt all i�ifor•frlation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) ,�OWI�iER R CONTRA.CTOR <br /> JOB SITE ADDRESS: � .F� �7S C��S�' v ��� �j� ZIP: <br /> Will this be a Parade of Homes, RemodQlers Showcase Home or other Display Hotne? <br /> ❑ Yes � No If yes, a special event per•rnit is reqa�ired witl�Police Depai•tment and City Council approvol <br /> 60 days prior to the event. Shzrttle bz�s servi.ce x�ill be required unless applicant demonstrates <br /> sz�cient an-site parking is ati�ailable. Nor1 J�ermitted events will not be allowed. <br /> NAME OF OWNER: �G{ (i � ��� � PHONE: (hon7e) <br /> �`�- (work) <br /> MAIT�,INGADDRESS:����, C���`� �f G�U CITY: �G ZIP: <br /> CONTRACTOR: �; �� �c %�`r� ��ix� ��c,�h � �exo�:��/� ��1 i ����' <br /> CONTACT PERSON: 'c l� S �n ' MOBIL /PAGER: <br /> MAILING ADDRESS:��//S,} r'c /'r� �%� / CITY: �c S�-�'� ZI�P: S� .�S 1 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1ViAILING ADDI2ESS: CI'i Y: ZIP: <br /> N��i�: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOS]EJD�VOJE2I�(clescribe an detail�:�c�'ll 1' ���r���-.��a-r� C S ��g'��f-� <br /> S'�'��7'i�S: S�.�'E�'I'O�EACII�'�.,O�R: <br /> NO. OF�EDROOi�IS: �ARAGE S�I"�LLS: A'T'I'A�H�'I3 �3ETACHEI� <br /> <-�� <br /> ESTI'VI�,'TE� CO?VS'I'RUCTI01�VAL,IJA�'ION(excluding land): $ �/ G�� ^ <br /> , r• <br /> I hereby apply for a bui?dinc permit and I acknowled�e that the information above is complete and accuratz; <br /> that the work�vill be in conformance with the ordinances and codes of the City and with the State BuildinQ <br /> Code;that I understand this is not a permii and work is not to start without a gemiit;and that the work wi11 be <br /> in accordance with the approved p1an. <br /> APPLICANT'S SIGNATURE.: ^ �'� DATE: � � � �`�� <br /> �1 <br />