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RUG-03-2006(THU) 15; 25 P. 001/005 <br /> t ' <br /> Total Fee: $ 1.39-60 Date Received: 0 <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZfP: X53 6�l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Dome? <br /> ❑Yes ®No If yes, a,special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrales <br /> sufficient on-sire parking is available. Non permitted events will not be allowed <br /> NAMEOFOWNER: CaorrltYa PRONE: (home) 95Z, y72, Qo3_� <br /> (work) y52, 221. toy 6q <br /> MAILING ADDRESS: goCZ a LOC CITY: d ond,JO Z1P: 5S-36 <br /> CONTRACTOR: N I✓a- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: /J I!- 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) X <br /> Any earth movement: may require MCWD review and permits! <br /> PROPOSED WORK(describe in detall): <br /> .MS."N \o 4 oeC� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(exclu ' and): $ 500 <br /> I hereby apply for a building permit and I acknowl that the information above is complete and accurate; <br /> that the work wil I be in conformance with th dina s and codes of the Cityand with the State Building <br /> Code;that 1 understand this is not a p and tto'" without a permit;and that the work will be <br /> in accordance with the approved p j <br /> APPLICANT'S SIGNATURE: DATE: 9-3- Zoo 6 <br /> ,31 <br />