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Total Fee: $ Cw lDLO Date Received: <br /> Entered By: Permit 9: 61 104y <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: �1-7L/O TTVK(V le(,J L.t4a 6 ZIP: <br /> //V&c /?C/, /tel t---) <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [9-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: Lot1 I M /Le /14 e r- PHONE: (home) <br /> work) -l370-�� <br /> MAILING ADDRESS: �L�o-� CITY: %i� lc IP: SS.3.S S <br /> CONTRACTOR: male �D�S<c,rr �ct�Gc� LC- � PHONE: 7 -`�7Z ' <br /> CONTACT PERSON: //V tee ;944t /- MOBILE/PAGER: , /'z <br /> MAILING ADDRESS: 237& CITY: ` >_7LP—i ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: 2 - 01 <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): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 46e 0 tr�D <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 SIGNAT ���" <br /> DATE: re /l <br /> 31 <br />