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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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS:3?� n�r Po�r�- �n ZIP: 5 <br /> Will this be a P ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO lf yes, a specral event permit is r�egui��ed ivith Police Deparrn�ent and Ciry Cor�ncil approva/ <br /> 60 days prior to the erenl. Shrdt/e b�rs se�•rice la�ill be required vnless applicant demonsh•ales <br /> sr��cient on-site parking is avai/able. Non-permitled evenls iril/not be al/oi��ed. <br /> NAME OF OWNER: �t��� PHONE: (home) �_II" I S <br /> l�'L��1���V f U�� � (work) <br /> MAILING ADDRESS: ITY: YO� ZIP: <br /> CONTRACTOR: PHONE: ' � <br /> `;i�E t��-;� <br /> CONTACT PERSON: '`1VIOBILE/PAGER: <br /> MAILING ADDRESS: �:,: CITY: ZIP: <br /> STATE LICENSE: # , :::, • - �XPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) ��� <br /> PROPOSED WORK(describe in detai�: � � �"� V�, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �0�� <br /> 1 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: �V TE: I ( <br /> 3t <br />