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Total Fee: $ Date Received: <br /> Entered By: /� /U l 2 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 CONTRACTOR <br /> JOB SITE ADDRESS: c�0 1 W CX ZIP: �S <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes KNO Ifyes, 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. r <br /> NAME OF OWNER DRV), PHONE: (home) j _A O 6 7� <br /> (work) <br /> MAILING ADDRESS: CkU t�"V V/a6d CITY: ZIP: S 3 S 6 <br /> CONTRACTOR: �Sd� Sc1 a�ld�S PHONE: p7So - 0 <br /> CONTACT PERSON: Kid -Par's--,,_ MOBILE/PAGER: 4 ti Z 7 S O 49�8 <br /> MAILING ADDRESS: V akurr,,_ Vp-- CITY: S a i Li� G,� ZIP: .5510'( <br /> STATE LICENSE: # _2-01 ( �'711 EXPIRATION DATE: '3 -31 --2 (06C <br /> ARCHITECT/ENGINEER: `]aW\!eC PHO E: 612 3 7 l l <br /> MAILING ADDRESS: J J� )<of WP / v� CITY: VAp S ZIP: �0T <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> W <br /> PROPOSED ORKfide cribeinde ail): I-Vl� x 44- ia � <br /> t- �droar t '4) h\Oo . <br /> ►�G ��a ivy f�CktWW\_ �,✓� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 12 , 0 0 0.0 <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 ordina9kes and codes of the City and with the State Building <br /> Code;that I understand this is not a permit anork s not t without a permit;and that the work will be <br /> in accordance with the approved plan. �) <br /> APPLICANT'S SIGNATURE: DATE: <br />