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a <br /> , <br /> Total Fee: $ DateReceived: <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> !7 � � / <br /> JOB SITE ADDRESS: ?S � C� il�� 0�` ZIP: SS�SIv <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ❑ 1�0 /f.i'es, a s/�ecial even!permi!is reqzri�•ed irilh Police Deparunen�and C'ity('oi�ncil app�•oval <br /> «)days prior lo the erent. Shultle bus sen�ice i+�i/l be required am/ess app/icant demonstra�es <br /> si�Jfrcie�it on-site pni•king is ai�arlable. .'�'on-pernritted even�s x�ill no1 be alloired. <br /> NAME OF OWNER: �t/�/ /q �-� ,}�/L� PHONE: (home)�/,� -3n�-#7�� <br /> ,� work) <br /> MAILING ADDRESS: �/�/,�� �',st� S� CITY: � �-��i ZIP: SS;'�/ � <br /> , <br /> CONTRACTOR: PHONE: �150'� —`�/.S-���' <br /> CONTACT PERSON: ,� l MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # C -'�nSD EXPIRATION DATE: <br /> � LING.INC, <br /> 4100 EXCELSIOR BLVD. <br /> ARCHITECT/ENGINEF�.: PHONE: <br /> MAILING ADDRESS: ��#�.�� CITY: ZIP: <br /> 1vAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) 1/ <br /> PROPOSED WORK(describe in detai�: �(� ✓C�'l�/' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> / � ��r>C/ �`�/ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � <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 /> ' ��y��fr/��"�_���TE: � 4G <br /> APPLICANT S SIGNATURE: � <br /> 31 <br />