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Total Fee: $ 2 19 Date Received: 61710 <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 ONTRACTOR <br /> JOB SITE ADDRESS: �`f �� W 7— "1© ZIP: S 5 35 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 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: YY)i I--e C I e m 5 PHONE: (home)a S2- 850 3 4 <br /> (Work) — <br /> MAILING ADDRESS: (:�,40 CITY: Oron6 ZIP: 5S&56 <br /> CONTRACTOR: L*P� :s,-�-- .,ba^ L-`­—A moo, ,„ t h c.PHONE: q5 Z-•9 3E6-0 3 rn 9 <br /> CONTACT PERSON: Bob MOB E/PAGER: 6l2• q 1 -t • 04 £5, <br /> MAILING ADDRESS: t 14D CITY: ZIP: 553-,3 <br /> STATE LICENSE: # Z0s 1 -j r 1 ( EXPIRATION DATE: 3. 31 • d 9 <br /> ARCHITECT/ENGINEER: N / A PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.:Siding,Windows) <br /> **Any earth movement may require MCWD Review and Permit! <br /> PROPOSED WORK(describe in detail): nu+ v--� :p ao cw wopA <br /> mor <br /> STORIES: SQ.FEET OF EACH FLOOR: N <br /> NO. OF BEDROOMS: N/A GARAGE STALLS: ATTACHED N DETACHED_L�/A <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that t work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;tat 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: S • o S O£� <br /> 31 <br />