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Total Fee: $ / Date Received: <br /> Entered By: Permit 2— <br /> CITY <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: 295 t o n kci A V t- ZIP: fJ 3 5 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q 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 /> NAMEOF OWNER Ca ry FV_4;1 h PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 2� �j TO fl k-,(-\ Avt CITY: Oro,,-to ZIP: bC5,3 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: u - s 2 <br /> MAILING ADDRESS: 700 0 ektc,i4 k W CITY: A+.v,,k,- ZIP: �G <br /> STATE LICENSE: # 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 /> PROPOSE WORK(describe in detail): �!5tYL� � ��©�✓ fi v i1 W�S1 <br /> J ✓IC C� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ j 110 U <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. \ V / <br /> APPLICANT'S SIGNATURE: --.. Z. DATE: `D <br /> 31 <br />