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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 review will be started. <br /> (please print all infor�iation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> /� R � <br /> JOB SITE ADDRESS: �� �v l�i� �.S ��r� ZIP: S 5 � S I <br /> Will this be a P ade 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 app�roval <br /> ' 60 dcrys prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site pnrking is available. Non pen�zitted events will not be allowed. <br /> NAME OF OWNER: S e��'Y-� T !�a�� PHONE: (home)�5�^y �y^4`�S'�' <br /> (work) �/�- ?9'�i-S�7,s�" <br /> MAILING ADDRESS: �U�U�u K��v�� �� �ITy; j�N�IY /34�_ZIP: S1S 3 3/ <br /> � <br /> CONTRACTOR: S � L� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: s�- �� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTR.ATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: �c /✓���` <br /> STORIES: � SQ.FEET OF EACH FLOOR ��C� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ,.r�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3��D�- <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 />