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l <br /> r <br /> Total Fee: $ "I�� y� Date Received: %���i Z/U r <br /> Entered By: �� Permit#: �C�'j,��j <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�Tt a1!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ,} / �� �� �� / ZIP: ��J � / <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a specinl event permit ts r�eqz�ired 1�vith Police Departhlent and Crty Council approval <br /> 60 days prior to!he event. Sharttle bus service wil!be required ttnless apphcant demorrstrates <br /> sTrfftcient o -site arking is nvailable. Non-per•mitied events wi1T not be allowed. <br /> --� ;�� �n � � <br /> NAME OF OWNER: �/ � � � � !'� PHONE: (home) �,/ `. ,�y.� <br /> � � <br /> MAILING ADDRESS: J�/ � �� �~ � � CITY: (� (W�ZIP: ,s�// S/� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STA'I'E LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WOIZK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> PROP SED WORK�C�CSCYIGL'[��y detai�: --C'�,0(_ O�� l��C� ,����1 - �� (�'�-�. <br /> /t/� l., �s<,�(�-f'on , r�l v� �✓�� �- � ' S" •i�� ' <br /> STORIES: � �Q.FEE�'OF EACH FLOOI�: ��Q <br /> NO. OF BED OOMS: a GARAGE STALLS: ATTACHEI) DE'TACI-IEI➢ <br /> ES'TI10�IATIED CONS'i'1�UCTION 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 ofthe City and with the State Building <br /> Code;that I understand this is not a permit an rk is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> � � � / <br /> APPLICANT S SIGNATURE: DATE: / Q -I� " O� <br /> 31 <br />