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Total Fee: $ Date Received: 7'�"�� <br /> Entered By: Permit#: AU 77�3 <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 o OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 3yfl �pKT� T�iVI 1•A�t ZIP: SS,3�o <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �TO If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ���M Nt 1 l�Sa 1►.� PHONE: (home)��2- •l 7 Z•��L� <br /> � �l (work) 2.. 7 , O� <br /> MAILING ADDRESS: 3�'I'� �(�'l'{ �M `-+�ITY: ,N�� ZIP: 6 <br /> CONTRACTOR: �.1 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home RemodeUAlteration <br /> � � �• <br /> PROPOSED WORK(describe in detai�: I�O X 11 (� �j 1'�'1�1� <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��S <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,�. <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 p it and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan � <br /> APPLICANT'S SIGNATURE: DATE: 1 O� <br /> 31 <br />