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-op <br /> Total Fee: $ 6 76'23 Date Received: <br /> Entered By: Permit#: Y <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: 0-57-S ZIP: <br /> SS3S� <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: 7-.e tec_ /e-7LA/ PHONE: (home9Sz��74 <br /> LQAt (work) - � <br /> MAILING ADDRESS: a s 75 �0'°",l+bve of CITY: 0r o o a —zip: —s-,-3T,6 <br /> CONTRACTOR: bati eo-ye'— PHONE: 3.:Z.>333- 77A 7 <br /> CONTACT PERSON: 5.411 MOBILE/PAGER: <br /> MAILING ADDRESS: as Y S AeoSCvela- /t?,a CITY: Sr: C/ovZIP: S6­3W) <br /> STATE LICENSE: # ,t/ 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 /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Sti G"W4d r20XYy Sw��•^ 'Ny �oo� <br /> v�datoyN -�►- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 'g000 <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 /> APPLICANT'S SIGNATURE: QM DATE: 6 <br /> 31 <br />