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Total Fee: $ Date Received: <br /> Entered By: —49af" Permit 9: Ao9/36 <br /> CITY OF ORONO - BUILDIN4 , _.VIIT 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: ��S To�/ 9v✓4 .20.4 ZIP _00 <br /> S6 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a s ial event permit is required with Polic .impartment and City Council approval <br /> e 0 days prio the event. Shuttle bus service wAM required unless applicant demonstrates <br /> sufficient on-s arking is available. No fitted events will not be allowed. <br /> NAME OF OWNER: �'���� ',/rte- Zvi PHONE: (home) '171' —76-7c/ <br /> (work) <br /> MAILING ADDRESS: CITY: ' `" ZIP: .ss`35-� <br /> CONTRACTOR: <br /> CONTACT PERSON: Tom/ i/a MO E AGE <br /> MAILING ADDRESS: /fn. C <br /> STATE LICENSE: # 9Cv 5-014,79 EXPI ND E: <br /> ARCHITECT/ENGIN P <br /> MAILING ADDRES CITY: Z <br /> NAME: REGISTRATION: # <br /> TYPE OF WO New Addition Ac0OTT Structure X <br /> Move Home Remodel/Alteratio <br /> PROPOS WORK((Iescribe in detain: 44.)' <br /> STS: SQ.FEET OF EACH FLOOR: <br /> STS: <br /> GARAGE STALLS: ATTACED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land). <br /> I hereby apply for a building permit and I acknowledge that the information ab e 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: <br /> 31 <br />