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�. � ' C�� `�-z7-b� <br /> TotalFee: $ �.39�� � / DateReceived: ,��� �'� �rJ� <br /> Entered By: Permit#: <=j f G � 0 j <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o��e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: % ;' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑fi10 lf yes, n special event pernut is regarired�vith Police Depar�tmeiat and City Cotrncil appr•oval <br /> 60 clays prior to the event. Shz�ttle bus service tinill be reqzcired unless applicant demonsb�ates <br /> si�f cient on-site parking is m�ailable. iVon permitted events tivill not be allotived. <br /> NAME OF OWNER: " • PHONE: (home) ``�' � " � `H �' <br /> (work) <br /> MAILING ADDRESS: � CITY: � - � ZIP: �. <br /> CONTRA.CTOR: � PHONE: � s �' <br /> CONTACT PERSON: MOBILE/PAGER: - t m d7 Js Y <br /> MAILING ADDRESS: CITY: ZIP: �.: ��; <br /> STATE LICENSE: # EXPIRATION DATE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR�SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration :--�' <br /> :;� <br /> PROPOSED WORK(describe in tletai�: � ��` t' L- � '� ���'� r <br /> �'I'ORIES: ��.�'EE'I'O�'EACY��'I,OOR: <br /> NO. O�'BEDROOMS: GARAGE STALLS: ATTACHED DE'�ACHED <br /> ESTIIVIATEI)CONST12iJCTION VALUA�'ION(excluding land): � �° ', `'�' � � <br /> I hereby apply for a building permit and I ackno�vledge 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 pennit and work is not to start without a permit;and that the work wiii be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />