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j <br /> Total Fee: $ Date Received: I <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 CONTRACTOR <br /> 00 <br /> JOB SITE ADDRESS: Is�5 Tr q t71( 1 Q Tggt l ZIP: S' 35(p <br /> Will this be Iyarade 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 /> NAMEOF OWNER: T/�, PHONE: (home) 9'S'2- 975--OSS/ <br /> _ //�� l (work) <br /> MAILINGADDRESS: MS'S' //,Kr--f�d[A TK- CITY: BrpKp ZIP: S'3.5 <br /> CONTRACTOR: oo /UK Z l C- PHONE: 713 SS.0-004 <br /> CONTACT PERSON: ^$pA n E. MOBILE/PAGER <br /> MAILINGADDRESS: 79s�-Towe'- D2. CITY: eed/,tg ZIP: S'3Qp <br /> STATE LICENSE: # Z 0 7 Z S'3 EXPIRATION DATE: 3- 1 - o S <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) X <br /> Any earth movement may require MCWD revie and permits! <br /> PROPOSED WORK(describe in detail): 7�or-o�� mon S�i�y /2oa SV �UPur- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S 6-29 O . B <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: <br /> 31 <br />