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M <br /> Total Fee: $ 16,57 ov Date Received-W-6 b <br /> Entered By: Permit#: P /l <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) /O,WN/E�R R CONTRACTOR 9— <br /> JOB SITE ADDRESS: y�ya ' U`�Yl� y i l ZIP: `�`�`�� �t <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes P 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: /l e� �� /Q✓ a < N P Y PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: y� U /°��f k Ur �� CITY: ZIP: -5'536' <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 ermits! <br /> PROPOSED WORK(describe in detail): ,-UeA,,) 54 i! /es <br /> STORIES: ! SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_C <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 31.500. 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 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: <br /> 31 <br />