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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 information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��70� Lyr; c /�Y ZIP: �5 39� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes O If yes,a special event permit is reqzrired with Police Departrnent and City Council approval <br /> 60 days prior to the event. Sha�ttle bus service will be reqt�ired unless appdicant demonstrates <br /> suff:cient on-site parking is available. Non�ermitted events will not be allowed. <br /> NAME OF OWNER: ���� ����,� PHONE: (home) ��a-�y 7} �3 y / <br /> (work) � - - 99�5 <br /> MAILING ADDRESS: 50$ Z 41l /�-V-� CITY: � '�q� ZIP: <br /> CO CTOR: PHONE: <br /> CONTACT ON: MOBILE/PAGER: <br /> MAILING ADDRE . CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILiNG ADDRESS: C ZIP: <br /> NAME: REGISTRA N: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) � <br /> PROPOSED WORK(describe in detai�: ���5�� rgc�sScd W%�1�Gc-� o-.ol <br /> 5�+�1'rof� �tg�Pw�f�.� <br /> STORIES: SQ.FEET OF EAC�I FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ d � <br /> I hereby apply for a builciing 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 a d or is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> ,\ <br /> APPLICANT'S SIGNATUR�: ,` DATE: /V �C 3 --�5 <br /> 31 <br />