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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) �IOWNER OR CONTRACTOR e <br /> JOB SITE ADDRESS: al <br /> J V s H/ )Y��,1 /26 ZIP: SS39 <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: /14 a r-l/ S.- /41- 4.4)/(1' PHONE: (home)C/2- 4S - 0 0 <br /> Fc) <br /> (work) —2'6 <br /> MAILING ADDRESS: [ U `2)301( 3 3S CITY"1-f/r//1,f() ZIP: S5 3 S <br /> CONTRACTOR: c3 / r- 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 Remodel/Alteration <br /> PROPOSED WORK(describe in detail): TCS bt'C Li <br /> STORIES: I t/' SQ.FEET OF EACH FLOOR: 4a pp <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 So o <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 /> - <br /> APPLICANT'S SIGNATURE: DATE: J V�� <br /> 31 <br />