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Total Fee: $ • 1-2,0 Date Received: <br /> A o et-m_ <br /> Entered By: I LeVc)1 Permit#: 1Z�i z_ic <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: /G ya jvpity MEd- pl y ZIP: (� ' <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes No 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 /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: %�,Nt / 66F./4a4eJ PHONE: (homed�Ty7 it9 <br /> z (wol:A- <br /> MAILING ADDRESS: ,S ✓LIQ ���l/fCITY: �dl � ZIP: <br /> CONTRACTOR: it 4f !JI-t4l/z`�L 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 Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> PROPOSED WORK(describe in detail): / _A `'; 40 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED P ETACHED <br /> 06 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,(0 <br /> QQ <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 permit 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: �„ ,,i, , / DATE: /c,, ,-/X—A.5 <br /> 31 <br />