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. � J <br /> I � <br /> Total Fee: $ � � ` � �n �Z� Date Received: ���� <br /> Entered Ey: termit#: , p�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATTON <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�Zt all infort�zation) <br /> T�iE APPLICANT IS: (circle o�ie) OWNER OR ONTR.A.CTOR <br /> JOB SITE ADDRESS: �O �j_L��.d��� �Z,� ZIP: J'r <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes,a special event permit is required wit1�Police Department and City Council approval <br /> 60 days prior to the event. Sharttle bzrs sertiice will be required unless applicant den:onstrates <br /> sa�cient o�z-site par•�ing is available. Non pen�zitted events will not be alloti+�-ed. <br /> . <br /> NAME OF OWNER: �s�,)����E PHONE: (home) <br /> � � . (work) <br /> MAILING ADDRESS: ^ , b CITY: _��tJ ZIP: S� <br /> CONTRACTOR: � E PHONE: �52•j�''�-0D2� <br /> CONTACT PERSON: MOBILE/PAGER: ��2 - � � <br /> MAILING ADDRESS: CITY: ..��_ZIP: ���j <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �f(�� PHONE: <br /> MAfLING ADDRESS: CI a Y: ZIP: <br /> NAM�: REGISTRATION: # <br /> TYPE OF WORK: New Addition _� Accessory Structure <br /> Move Home Rem�o_deUAlteration �_ <br /> r <br /> PROPOSED WORK(descl•ibe in detai�: �' <br /> G • i <br /> STOI2YES: � SQ.�EET O�'EACIi�LOOR: <br /> NO. OF�EDROOI�IS: _� GARAGE STALLS: ATTACHED� DETAC�-IED_ <br /> ESTIMATED CONSTRUCTION VALiJATION(excluding land): $ �p, p�a� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work�vill 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 /> APPLICA��1T'S SIGNATURE: DATE: (p�'j_O�_ <br /> 31 <br />