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s , <br />� <br /> Total Fee: ,� �� �C� llate I2eceived: b(O <br /> E n t e r e d B y: '� � 1-- `���/O(�- P e r m i t#: �`: ' <br /> CITY OF ORONO - BUILDING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a11 informatioix) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADllRESS: �JO � ��' � �/ � I� <br /> �- ZIP: :.��_�_��- <br /> Will this be a Parade of Homes, Remodclers Showcase Home or other Display Home? <br /> ❑ Yes �TTO /fyes, a specia!event permit is reqa�i�•ed�vilh Po/ice Departmenl and Cily Coimcil approva! <br /> 60 days pr•ior to tl�e event. Shuttle bz�s service tivrll be regaiired a�nless applicant demonstrates <br /> sa fficient on-sile parking is nvnilable. Non-permit/ed enents wr(1 nol be nllowed. <br /> NAN1E OF OWNER: ►r f '� PHONE: (home)�I '�Q— <br /> �(lZ <br /> (work) -- -O 3 �S <br /> MAILING AllDRESS: 2��� Kel�v ���' CITY: Q y�0 vt.0 ZIP:� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGiNEER: PHONE: <br /> M?�r ING A���SS: �TT�'. ZI�: <br /> NAM�: 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/CW; D re�iew and permits ! <br /> PROPOSED WORK(describe in detain: ���,�3��_- /�/��:�'_',./!!� <br /> STORIES: SQ.FEET OF EACA FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHCll DETACHED <br /> ESTIMATCD CONSTRUCTION VALUATION(excluding land): $ �,s��o�� <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 pennit and work is not to star �vithout a permit;and that the worh wi(1 be <br /> in accordance with the approved plan. ,,� j <br /> r" <br /> APPLICANT'S SIGNATURE: �,ry��'F'°� �'. L.�� DATE: � <br /> 3t <br />