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Total Fee: S/ O `� Date Received: /g0/7 <br /> Entered By: Permit#: J/ <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 ORONTRACT0 <br /> JOB SITE ADDRESS: l)a Q y�u s��c h©a J ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes X 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-/ N <br /> site parking is available. N/ <br /> /// on-permitted events will not be allowed <br /> NAME OF OWNER: I-C heg 60 �O Zbe,RfZ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 51el'Aze- f Ko Pt/��ti PHONE: 95) _q73--55'.35 <br /> CONTACT PERSON: MOBILE/PAGER: //2 -3�5-SB 5 <br /> MAILING ADDRESS: 1:7341a �Ii'yNe o� �a�l//d� CITY: &)a aa� ZIP: 53S/ <br /> STATE LICENSE: # 31-2),l EXPIRATION DATE: v 8 <br /> ARCHITECT/ENGINEER: vu•v v PHONE: 4170 -975v <br /> MAILING ADDRESS: -l6/-/ BraeA- CITY: < ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> PROPOSED WORK(describe in detail): <br /> STORIES: 3 SQ.FEET OF EACH FLOOR: MaiN 9-5641, �.,d '36>�� <br /> NO. OF BEDROOMS: _S GARAGE STALLS: ATTACHED-171- DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ wojoflo my <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 /> t <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />