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r • , • <br /> Total Fee: $ Date Received: �'' ? r�%'� <br /> Entered By: Permit#: ��� �j.��' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plectse print all infof•nzation) <br /> ----------------------------------------------------------------------------- - - - - ------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �,�(� �V'� � I C�C� ZIP: <br /> Will this be a�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ���NO If yes, a special event permit is regui��ed with Police Depaf-t�sient and Citv Co�inci/approv�al <br /> 60 days pf�ior to the event. Shuttle bus servtce wtll be requared uriless applicant den��o�zstrntes <br /> suffcieitt oiz-site parking is available. No�z perrnittecl events will not be allowed. <br /> NAME OF OWNER: � ( (�l �� �-�(� PHONE: (home)d1eJa• �-{1 I �I�J`(� <br /> (work) <br /> MAILING ADDRESS: �_(��_ ��c�CITY: �1/C� �'1 D ZIP: SS3G <br /> CONTRACTOR:��}�`�� � �;���2Q� PHONE:q 5a� �� . a�y � <br /> CONTACT PERSON: � C34� MOBILE/PAGER: �01a � �n8�� C��3� <br /> MAILING ADDRESS: ��j O �`�' � Sa. CITY: ��' 1 ZIP: �3 <br /> STATE LICENSE: # ��a� ��3co�i EXPIRATION DA E: � a, � <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(desci�ibe in detai�: � � �����QZ,,� v '�- � ��� � <br /> S'I'ORIE�: SQ.�'EE'I'OF EACI��OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTI01�i VALIJATION(excluding land): $ �� , �� . � v <br /> I hereby apply for a building permit and I acknowledge that the inforniation 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�uilding <br /> Code;that I understand this is not a permit and work is not to start witliout a perniit;and that the work will be <br /> in accordance with the approved plan. <br /> �- <br /> APPLICANT'S SIGNATURE: DATE: � � <br /> „ <br />