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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 print all inforrriation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> , <br /> JOB SITE ADDRESS: ' (,10 � ���-i ��� ��,� ZIP: <br /> Wilt this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /fyes, a special event permit is required with Police Departmeni and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-sile parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: S �,,-� •�- (,;�. �l; �j�� , PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: '� ,,� c— �v-•��'- �� �I� PHONE: _L/1 3�'z �`�o <br /> CONTACT PERSON� ��, �f -�{,4��,��,,....� MOBILE AGER: Ss�-� : <br /> MAILING ADDRESS: S��3� �;2��G:r1 � S - CITY: h/���k�c� -r ZIP: �S�f-1� <br /> STATE LICENSE: # 7 � }-'� � 7 I � �✓ EXPIRATION DATE: ?,� <br /> �/ l ��%� � <br /> i � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require M WD review and ermits! <br /> PROPOSED WO K(describe in detain: ` �,.� % ` '�-�� �r�, e✓���s <br /> /s- ' r� �A f' Gt C C c. ` t.,�s c, <br /> STORIES: �-- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � c%'�-�; <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 /> APPLICANT'S SIGNATURE: 'i� ' �`�,3,z��r��-� DATE: �� l 0 d� <br /> � <br /> / <br /> 31 <br />