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Total Fee: $ Date Received: <br /> ' Entered Bv: 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 al1 information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���(.'�l>�,���l��/•• ZIP: <br /> Witl this be a�arade of Homes,Remodeters Showcase Home or other Display Home? <br /> ❑ Yes �-�TO !f yes, a specia!e��ent permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shutt/e bus service will be required unless app/icant demonstrates <br /> su�cient on-site parking is available. Non perrnitted events ivitt not be allowed. <br /> NAME OF OWNER: ��/�' � PHONE: (home) — I� <br /> , � _ �} <br /> MAILING ADDRESS:�,� ���$�� ��j CITY: - 1 ZIP: <br /> CONTRACTOR• , � PHONE:��?��-i�',�/ <br /> CONTACT PERSON: MOBILE/PAGER: S�i/yJf- <br /> MAILING ADDRESS: CI'TY: ZIP: <br /> STATE LICENSE: #t��'{��'�,3� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: J PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration(ie: Siding, Windows) �_ <br /> PROPOSED WORK(describe in detai�:��"c —�C�t�r ,����� <br /> STORIES: �_ SQ.FEET OF EACA FLOOR: .S�'CY'� <br /> NO. OF BEDROOMS:�_ GARAGE STALLS: ATTACHED�_ DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �'�%' "�'��i <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wi[t be in conformance with the ordinances and codes ofthe City and with the State Buitding <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. <br /> APPLICANT'S SIGNATURE: �-'-��� DATE: '�./G-� <br /> 31 <br />