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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 p�•i�zt all inforjnation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o��e) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: �p �� �,��✓���{ �a l..� ZIP: SS� /l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ 1�0 If yes, n special event permit is reqzrired rvith Polrce Departme��t and City Coirncil approva! <br /> 60 dnys pr�ior•to the event. Shz�ttle bus se�vice lvill be r•ega�ir�ed unless applicant demonstrates <br /> scrfficient on-site pnrkrrig is nvailable. rVon-permitted events tivill not be allo�ved. <br /> NAME OF OWNER: /�4�,SO l`� PHONE: (home)9so�- ¢�3- 7s�/ <br /> (work) <br /> MAILING ADDRESS: .S�I�7C CITY: O�o�O ZIP: SS 3 7 / <br /> CONTRACTOR: c.,v PHONE: 7�3-5��-030� <br /> CONTACT PERSON: o MOBILE/PAGER: <br /> MAILING ADDRESS: �o G- J3.T� !�v� �✓ CITY: Nt aN j'� ZIP: Ss� � <br /> STATE LICENSE: #j�aaisSJ EXPIRATION DATE: 03�7 <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 /> PROPOSED WORK(describe i�� detni�:� �G����� G/Cf <br /> ��1ii"ORIES: 5Q.�'EE'�{'O�'�ACH�'L,OOR: � .5 <br /> NO. OF BEDROOMS: GAI�AGE STALI,S: ATTACHED DETACHED <br /> ESTIIVIATED CONSTRIICTION VAi,�1A'�'ION(excluding land): � <:�`, �, D C; CJ <br /> I hereby apply for a building permit and I ackno�vledge that the information above is complete and acctu•ate; <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 t11at the work�vill be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � / <br /> �l <br />