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Total Fee: $ -.3D 17 Date Received: <br /> Entered By: Permit#: 14/p/-7 <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 O ONT CTOR <br /> JOB SITE ADDRESS: ?S�S ) p ,•c� r ej ��„A, ZIP: SS 3,S a <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/pd. <br /> Non-permitted events will not be allowed <br /> NAME OF OWNER: Ve0e�.149X 5A. CAA` PHONE: (home) �04?- dr-&QXS•(. <br /> (work) <br /> MAILINGADDRESS: _ g�4nc� . CITY: ZIP: <br /> CONTRACTOR: r ,..0 PHONE: 61oZ" Z41? <br /> CONTACT PERSON: 5'iCe MOBILE/PAGER: J <br /> MAILING ADDRESS: 90 Gk GrogO&r Aur XW CITY: &*If urt6 ZIP: Ss3 FO <br /> STATE LICENSE: # 2014 EXPIRATION DATE: Akr ROO <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition cessory ttructur <br /> Move Home Remodel/Alteration (ie: Siding, indows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): wm4d Awl- hwsr "e...- Cd?�IG/'>�rs�il+b• <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ QQ Q a <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 DATE: O 07 <br /> 31 <br />