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� <br /> 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 i�tformation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> -- �-------_.. <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> C^Y_ � -� . <br /> JOB SITE ADDRESS: S `� � ���l� �� ZIP: S 5 -S � c� <br /> --� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes,a special event pe�-rnit is required with Police Department and City Council app�roval <br /> 60 days prior to the event. Shuttle bus service will be�-equired unless applicant demonstrates <br /> sufficient a�-site parking is available. Non yeri�zitted events will not be allotived. <br /> NAME OF OWNER:�✓� � �''� K G e� � �'�- PHONE: (home)���—�7� --�5�, <br /> (work) <br /> MAILING ADDRESS: ��C-r�S tzf � C``�-K l��f'Y: �J�-yLfl ZIP: ���� <br /> CONTRACTOR: �O N Gl� ' PHONE: c/ So1-���• S'S 7� <br /> CONTACT PERSON: ,���� ?j E • �--� �O�ILE/PAGER: <br /> MAILING AIyDRESS: j U y7b L�'i��,g L.��i 1.� 5 l f�'ITY:�C;.y17-71� ZIP: �� Z� <br /> STATE LICENSE: # �� �,� EXPIRATION DATE: o <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 /> PR POSED WORK(describe in detai�: � �vrwc.� �z-4� — � �'� L�� � <br /> ���K <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �--� GARAGE STALLS: ATTACHED DETACHED_ <br /> J� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� �(��� <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: r �' '�� <br /> 31 <br />