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Total Fee: $ 7 j Date Recew' D <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTACTOR <br /> .-- <br /> JOB SITE ADDRESS: /^ h� ZIP: SY34., <br /> Will this be Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> El Yes <br /> 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 <br /> parking is available. Non-permitted d. <br /> ermitted events will not be allowed <br /> NAMEOF OWNER: ka- /Y(aAr'dG ao-l PHONE: (home) 9,!'Z- Al-61475 <br /> _ /� / (work) <br /> MAILING ADDRESS: TO //'u 7�u l4 r2. CITY: iv/Q'yp ZIP: S'S' <br /> CONTRACTOR: A66 ol'i5ilev A C PHONE: 763-_f s;e -OW4 <br /> CONTACT PERSON: i ' MOBILE/PAG <br /> MAILING ADDRESS: Z49 Zb We.• CITY: Med'i'a ZIP: S 34a <br /> STATE LICENSE: # Zo/7Z/_q 3 EXPIRATION DATE: 3-31—0 9 <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 re re MCWD review and p rmit ! <br /> PROPOSED WORK(describe in detail):/"—p��/�y�/� /(� w M;p� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��9-S'p'y•00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. / <br /> APPLICANT'S SIGNATURE- DATE: l0—Z3 4$� <br /> 31 <br />