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I <br /> Total Fee: $ Date Received: � <br /> Entered By: Permit#: � <br /> �ITY OF ORONO - BUILDING PERMIT APPLICATION I <br /> All information must be submitted in full before plan review will be started. I <br /> ' (please print all information) <br /> --------------�-----------------------------------------------------------------------------------------------�--------- <br /> THE APPI�ICANT IS: (circle one) �OWNER R CONTRACTOR <br /> �._._..._T� <br /> JOB SITE IADDRESS: '�� 5 5 �(� ��'�'1�',V�i�U1 �� ZIP: � <br /> Will this be a P rade of Homes,Remodelers Showcase Home or other Display Hom ? <br /> ❑ Yes !�NO !f yes, a special event permit is requi��ed with Police Department and City Cozrnci approval <br /> ! 60 days prior to the event. Shuttle bzcs service tivill be r•eqzcired unless applicant de onstrates <br /> si ff cient on-site parking is available. Non-permitted events will not be allowed.I <br /> _.-- / <br /> NAME OF OWNER:.�1-��1-Z a �.c�Y� 1�7��.�[5u 5-�, PHONE: (home) ' - U y �U�(a. � <br /> (work) <br /> MAILIN(�ADDRESS: �I��J �Y11�tS�"lM�i'1 '�C�CITY: �� � ZIP: 5 <br /> CONTRACTOR: 11 � PHONE: '� <br /> CONTACT PERSON: � MOBILE/PAGER: (�I 2.- Z c�• - � � �. <br /> MAILING ADDRESS: r� CITY: �r ZIP: � <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: 1 <br /> MAILING ADDRESS: CITY: ZIP:j <br /> NAME: REGISTRATION: # � <br /> TYPE OI�WORK: New Addition _._...._.. ssory Structur <br /> Move Home Remod�j%Alteration � <br /> �� <br /> `_---� - <br /> PROPOSiED WORK(describe in detain: �i.w �'LG � <br /> ; � <br /> STORIE�: � _ SQ.FEET OF EACH FLOOR: �� � <br /> NO. OF �EDROOMS: � GARAGE STALLS: ATTACHED� DETA HED� <br /> � <br /> ESTIMAII'ED CONSTRUCTION VALUATION(excluding land): $= ���� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete an accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the Sta e Building <br /> Code;that�I understand this is not a pennit and work is not to start without a permit;and that the ork will be <br /> in accordance with the approved plan. <br /> ' f�� � .� I � <br /> APPLIC,ANT'S SIGNATURE: DATE: � � '� l,� <br /> 31 <br />