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Total Fee: $ `� ` Date Received: <br /> Entered By: Permit#• Z <br /> L fY9 6/1/0-) <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: 14(�_l� 0 L-0gs- zIP: , r <br /> �b <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [3No 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: EP J 1� 4)P I �Q gG PHONE: (home) 19 <br /> (work) <br /> MAILING ADDRESS: %Q 1QIKAW_P CITY: IC zip: <br /> CONTRACTOR: � C100n PHONE: ' <br /> CONTACT PERSON: IP11 MOBILE/PA ER: <br /> MAILING ADDRESS: CITY: r„ <br /> STATE LICENSE: # • 132._ EXPIRATION DATE: I.3l� �Z1T <br /> ARCHITECT/ENGINEER: k. PHONE: <br /> MAILING ADDRESS: Iry CITY: <br /> NAME: Adm 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): I Li, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S �` . <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 pl <br /> APPLICANT'S SIGNATURE: L DATE: 3 ' 5-7 <br />