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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: -: O S Nw'f, (4� A► ZIP: t) S 3� L, <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 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 /> suff/i�cien-t on-site parking is available. Non-permitted d. <br /> ermitted events will not be allowed. <br /> NAME OF OWNER: T�►��� -✓ '� ��'°� ��5 ` ' HONE: (home) -6 <br /> (work) <br /> MAILING ADDRESS: CITY:CTS ZIP: _S532 <br /> CONTRACTOR: C4 '✓l S Ck,, PHONE: <br /> CONTACT PERSON: CSL F MOBILE/PAGER: <br /> MAILING ADDRESS: Li 0 l*�s I Lj CITY:.Sck' ZIP: V <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 RemodeV teratio k)i'-Icklo , <br /> PROPOSED WORK(describe in detail): L- P� C.'�-�^�-�e .✓>� F,s.,�S <br /> l�lo Cka' <br /> STORIES: SQ.FEET OF EACH FLOOR: <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 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: 'Dcalel amt DATE: / e ! os- <br /> 31 <br />