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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be sabmitted in full before plan review will be started. <br /> (please print all irzforination) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: L-.Z�O �p� .�j'CZi-ET f�Q{�y.�c� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �P10 If yes, a special event pe�•mit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shutlle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �2g S M �1���l�c� PHONE: (home) <br /> (work) <br /> MAILINGADDRESS:`ZZt�(� ��y, S�C��-� CITY: �'7-{!1'�� ZIP: <br /> CONTRACTOR: ---� � � r� f�� ��� PHONE:�'3-y7���y� <br /> CONTACT PERSON: �-� " L— MOBILE/PAGER:7(a'3�3"7(�--�{�Op <br /> MAILING ADDRESS: 11Z l-}�-rn�L �Zn CITY: N- � ZIP: � '-fC� <br /> STATE LICENSE: #Z�u�jQ 7 1 q� EXPIRATION DATE: `3 O Co <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 in detai�: �j�(Z.F�i��� �r���p�L-i�-T t C�� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED Z DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�,C�C>C%� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 pennit 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: .�.� ����5� DATE: � � p 5 <br /> 31 <br />