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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 inforf�zation) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE anDUESS: � I�7� C y �-��tr���' 1-�l . ZIP: SS.-�`�I I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is required with Police Department and City Couttcil approval <br /> 60 days prior to the event. Shzrttle bus se�-vice will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non perr��itled events will not be allowed. <br /> NAME OF OWNER: �1\� � �SS�,� � ��1 l ���,ti�r�1'l PHONE: (home)`-j��,-- ��'0 I�U I <br /> (work) <br /> MAILINGADDRESS: ��1�3 � �l�►,�"CZt (� ��I .CITY: (1t ��y1v ZIP: ^�- =��� � <br /> CONTRACTOR: ;��C -\--1 � - PHONE: ��5� �����— (���-( g <br /> CONTACT PERSON: 1�1�Ic- �� �j�%r��6����;:"l��-� OBIL�IPAGER: (r;�a� ��S�1_-��t�� <br /> MAILING ADDRESS:��(���-► C t�:uC� C �( . CITY: ( �-X„y��x,��1���ZIP: �1��_� <br /> STATE LICENSE: # 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 X <br /> PROPOSED WORK(describe in detai�: I 1C���; ( LC%F '�Dt�l�L�, ����C'��C�� <br /> STORIES: 'i � -� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ T(1(�U <br /> I hereby apply for a building pe�nit 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 /> , <br /> APPLICANT'S SIGNATURE: ,?� � a �/ � ' DATE: �+ - ��� - �`��� <br /> 31 <br />