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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information mutt 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: 5 /0 alc Cr 5 - ova' ZIP: )S3 7-t <br /> Y <br /> Will this beaParade of Hoes, Remodelers Showcase Home or other Display Home? <br /> ElYesYes �J No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days pi for to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient pn-site parking is available. Non ermitted events will not be allowed. <br /> NAME OF OWNER: v II e y e Fih PHONE: (home) 9 5.'27-11-751q57// <br /> 5 I x / work) <br /> MAILING ADDRESS: 5 b Q/ cv a A�yC TY: L°�gl `t ( ZIP: 55 )'S <br /> CONTRACTOR: /' Ei - k 0JYA PHONE: 642---70–9 5) <br /> CONTACT PERSON: ) e e. MOBILE/PAGER: 6I,.2 90/— 9 T�9 <br /> MAILING ADDRESS: L' i� CITY: Gt/4►✓e/ ZIP: s�19P, <br /> STATE LICENSE: # ,_�i i � EXPIRATION DATE: 1-.31 027 <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 /> Any earth movementire requWD review and permits ! <br /> PROPOSED WORK(describe in detail): e ,– <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: _ GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ U a°- <br /> I hereby apply for a building per it and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conform nce with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is nota permit and work is not to start without ape mit;and that the work will be <br /> in accordance with the approved plan. aI <br /> APPLICANT'S SIGNA . '1 : r,iIIIP' 7/ DATE: /I/ ) 0 6 <br /> 31 <br />