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'?'�tal 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 /> --------------------------------------------------------------------------------��--�---------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRAC_ T�� <br /> JOB SITE ADDRESS: ZU'7:� Pi'1PC�..�'��1�t (� � z�: �����] <br /> Will this be,a�arade 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 Counci/approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: �,('���(� �(��,;,f PHONE: (home) � � "7���� <br /> MAILING ADDRESS:���� ' (work) <br /> �f�.���1�� �-(I CITY: ��.I��'IV ZIP: ����/ <br /> CONTRACTOR ! '' ,4 ��I�� PHONE: CCI`�� ���I`�--7ZZ�� <br /> CONTACT PERSON: �► MOBILE/PAGER: <br /> MAILING ADDRESS: ' !� t':��`'� CITY'._�1" I_L'�I E,� � ZIP: ���>� l�r' <br /> STATE LICENSE: # ►G'�.Z';: EXPIRATION DATE:_�//� <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 /> PROPOSED WORK(describe in tletai�: ��)�, �����L�, � ,�_(�,��('�� ���(�l.'C `� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��-�C% <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 /> ArPLrcalvT�s siGNaTu�:1L� `�'�.�'1C�C��-� ��..1�'1'1L�� �aTE: `� "�C'��� <br /> 31 <br />