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_- <br /> ► , <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 fu❑ before plan review will be started. <br /> (please pr�int all infarmatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- �r----,. <br /> THE APPLICANT IS: (ci�•cle one) OWNER O CONTRACTOR <br /> / �� � � <br /> JOB SITE ADDRESS: � 4' D �;n.J ��JF f�,�/��r � ZIP: � `� J �I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event pern�it is required with Police Department and City Cozmcil appraval <br /> 60 dnvs pria•to the eve��t. Sl�uttle bus service tivill be reguii•ed unless app(icanl demonstrates <br /> scrfficref�t on-site par•king is available. f��on-per�mitted events�vill not be allotived. <br /> NAME OF OWNER: �I.�'' �/� PHONE: (home)�f 5,;�. `�j;-�i�T <br /> (work) <br /> MAILING ADDRESS: 5�� f CITY: �� �/��'� ZIP: ;� �� <br /> CONTRACTOR: ,�.,./�:�;T,c r1 PHONE: ��>-S�/-636�j <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILINGADDRESS: �7 ���' -�;�;'/., p,�% r� CITY: i ,., , �i; ZIP: -�� <br /> STATE LICENSE: # �`c ��'i s S S l-.l. EXPIRATION D TE: 3��7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodeVAlteration <br /> � <br /> PROPOSED WORK(describe in detai����c>�=T�� ���'� /" i��� <br /> ST'ORI�S: SQ.FEE�'OF EACH FI,OOI2: <br /> NO. OF BEDROOMS: GARAGE STALLS: AT'�ACHEI) DE'TACHED <br /> EST'IMATEI)CONST12i1CTION VALUA�'ION(excluding lanc�): � � l %' C� �-"�' <br /> I hereby apply for a building pennit and I acknowled�e 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;tllat I undec•stand 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 /> APPLICANT'S SIGNATURE: �`�, I)ATE: � /� l 7 <br /> � <br /> 31 <br />