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/70 z c"/it 9 <br /> Total Fee: $ 89. Date Received: 3-(p-0 <br /> Entered By: Permit#: gibol( <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 PR CONTRACTOR <br /> JOB SITE ADDRESS: 13�n U I vw P tq C t, ZIP: S 3(o <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes RNo 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: 21,o wos L I h kv- PHONE: (home) S�-&35 <br /> I (work) �5� Sy�l-17 d'S <br /> MAILING ADDRESS: 3�e Dy I Y11 P14 C � CITY: ZIP: S6 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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) c <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): i <br /> (Do se <br /> w� <br /> STORIES: �- SQ.FEET OF EACH FLOOR: a, 0,5 D <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED 2 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 Da D • D 1— <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: 7, 2 d� <br /> 31 <br />