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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) r OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 16 2O ICIS rt.-5a; ,`J S 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: VI1k I( S PHONE: (home)9- <br /> (work) <br /> home) l(work) <br /> MAILING ADDRESS: SQ,,ti,L CITY: ZIP: <br /> CONTRACTOR: k4(/.Ufr S PHONE:C O,- ,-- <br /> CONTACT PERSON: RQQ MOBILE AGE : <br /> MAILING ADDRESS: (9i- CITY: ZIP: _ 9 <br /> STATE LICENSE: # �p`3('� 6) EXPIRATION DATE: 3 - 7/ 67 <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 movement may re. ire M eview and permits! <br /> PROPOSED WORK(describe in detail): (.. - ‘If <br /> STORIES: �j_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 eV4.N <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 : k i;f of to start without a permit;and that the work will be <br /> in accordance with the approved pl <br /> APPLICANT'S SIGNATURE S � r / DATE: d 6 <br /> 31 <br />