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' • r , <br /> � � <br /> Total Fee: � � �i �� � � DateReceived: � � u-C� <br /> Entered By: ���^_ ��'� Permit#: t�t= �5�j <br /> CITY OF ORONO - BUILDING PERMIT APPLTCATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priiit all information) <br /> -------------------------------------------------------------------------------- �=-----,�------------------------- <br /> THE APPLICANT TS: (circle o�:e) OWNER OR �ONTR.ACTOR� <br /> i � _.__�._._--------.__. <br /> JOB SITE ADDRESS: � �I� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �1\`0 �f yes, a special event perrriit is i-equired with Police Department and <br /> City CoLc�icil appr•oval 60 c�ays prior to t1�e event. Non permitted <br /> events wil not be allowed. <br /> NAME OF OWNER: �I' PHONE: (home) <br /> ► (work) <br /> MAILINGADDRESS: Pt , r �� CITY: � ZIP: <br /> ; i�� �� <br /> CONTRACTOR: ; � + , � �% � � <br /> � , (, PHONE: � <br /> CONTACT PERSON: � ' NIOBILE/PA E �� - �"-- � <br /> MAILING ADDRESS: � ', CITY: � ' . ��' Z : <br /> STATE LICENSE: # L EXPIRATION DA � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Altera�i,pn <br /> '; , <br /> PROPOSED WORK(describe in detail�: �°�X ��_���;� <br /> STORIES: � SQ.FEET OF EACH FLOOR:_��(� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � <br /> I hereUy apply for a building permit and I aclrnowledge that the information aUove 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 pernut and work is not to start � u a permit; and that the work will be <br /> in accordance with the approved plan. � /� � <br /> r f <br /> APPLICANT'S SIGNATURE: / ATE: {� � <br /> f� <br /> 9 .0 <br />