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Total Fee: $ /S� �' �� Date Received: °,3=/Ga -C.�� <br /> Entered By: �/U- Permit#: <br /> '�"� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> i ti�� <br /> A l l in formation must be su bmitte d in fu l l be fore p lan review wi ll be starte d. <br /> (please print all i�ifornzation) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: I �I � ���y ���f�s� �12. ZIP: S S-� S� � <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 Deparnnent and Ciry Council approval <br /> 60 days prior to the event. Shzrttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non pennitted events will not be allowed. <br /> NAME OF OWNER: � � i f� � p�� l� T�rA � PHONE: (home) <br /> (work) <br /> MAILINGADDRESS:S 4}u`-� CITY: ZIP: <br /> CONTRACTOR: U� • C' S�"� ��'I�� Co 1�S�i PHONE: �1�� �n� �S-�� <br /> CONTACT PERSON: �i, �� MOBILE/PAGER: (�I a- ' �� � - 31 ( � — <br /> MAILING ADDRESS: (nS�S So S�L,..,u��� L k` �r CITY:/�;n.,��'�''�S�� ZIP: SS�G L� <br /> STATE LICENSE: # S3� 7 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 /> ��-� � �S ` �, <br /> PROPOSED WORK(describe in detai�: E/'s�- � � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '��� � � <br /> I <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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: �– �� " �� S� <br /> 31 <br />