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s <br /> .. <br /> � <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> � <br /> THE APPLICANT IS: (circle one) OWNER O CONTRAC <br /> ��� <br /> JOB SITE ADDRESS: l�ZC; F��1�1�1°Y1( L�l. ziP: .`_������v� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a specia!event permit is required with Police Department and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service will be requirecf unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: (f�jf,f��ln �'IQ�Vv�/I�Ll PHONE: (home) - Z(f%� <br /> (work) <br /> Ma1LiNG avvuEss: 2,� -{Z�1'�k'_�'� ciTY: ��'i��;I"1C�' ziP: �� ��J <br /> � <br /> coNTRacTOR: +.1�lC%� k i��'11'�=� rxoNE: �11� �Z�7 <br /> CONTACT PERSON: �I .MOBILE/PAGER: <br /> MAILING ADDRESS: j � ') ' �'(f '�- � ' - CITY: l� � �.� �� IP: c��X )�� <br /> STATE LICENSE: # � -��(',' EXPIRATION DATE: _ '�j <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) iG <br /> P OPOS�D WORK(describe in detai�:�'� ,���'���/L%I ► , ��,�,J� , �� P�'�C�] <br /> � �Y � � � <br /> STORIES: SQ.FEET OF EACH FLOOR: �r <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHE DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��,C(��� <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 /> (� , <br /> APPLICANT'S SIGNATURE: 1�'�-��� ��JL�'����-�—' DATE: �� �?� �j <br /> 31 <br />