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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 /> (ple�se print all inforniation) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (ci��cle one) OWNER OR CONTRACTOR <br /> JOB sITE An�xEss: � 7 U S �-��, I �q�,;�� zlP: S s�� i.� <br /> Will this be a Pa►•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If�-es, a special event permit is required i�vitla Police Depart�rient and Citv Council approvcal <br /> 60 cl�}�s prior to the event. Shuttle bus se�vice will be required cnaless applicaizt dernonsb�ates <br /> su ff cienr o�i-site parki�ag is available. Non permitted events will not be allotived. <br /> � �- <br /> NAME OF OWNER: L-�;���� 1 ��G� PHONE: (home) C tiZ �( L�S� �'��31' <br /> (work) <br /> MAILING ADDRESS: ,1�� ���`� i=-J��� Y� ;i�-� CITY: C�v �� ��� ZIP: `�>��';� ! <br /> CONTRACTOR: �.b��;�� ; �+ � , ,� � .���� PHONE: �,��� ��'� `i f�� ��� � <br /> CONTACT PERSON: �',h,,.� � ("�; , � - � �� MOBILE/PAGER: <br /> MAILING ADDRESS: �l� � _ ('�rC l� �, _� CITY: �'�,�,�-1���,�;�,' ZIP: ��� 5� / <br /> STATE LICENSE: # > i t %� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER C �3��� C � ,�. ; � � PHONE: `� ' ��` `� �:.- ��, -, <br /> MAILING ADDRESS: � �j �'�� � ��� k' ��'� CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> '�YPE OF WORK: I�'ew Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(desc��ibe in detai�: ���������,� � ��. � � j< < �'�i,��,;: ..;� %�r.,:�;'�� , � �t� <br /> �'�- (�:�,� � s a 6�, �+�� ��G� s�, : �,�.��r��, ; <br /> , <br /> S'I'ORIES: S�.FEE'I'OF Er�CH�OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: AT'I'ACHED DETACHED <br /> ES'I'IIVIATED CONST'IZIJC'i'ION VALi1ATION(excluding land): $ J;, �-:,.- <br /> , <br /> I hereby apply for a building permit and I acknowledge that the inforniation 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 perniit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��' � � ��/��- DATE: ��"���"�> <br /> , <br /> �, <br />