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I <br /> Total Fee: $ Date Received: <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 /> JOB SITE ADDRESS: ;1657 L).4c `tb-j, A,( ZIP: <br /> Will this be a Pa ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ElYes 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 /> NAME OF OWNER: PHONE: (home) <br /> (work) 61' -'?6 To ct� <br /> � <br /> MAILINGADDRESS: w-0-crfm'N/.,/ CITY: ory,-o ZIP: 4-s-3s-z <br /> CONTRACTOR: A 1ISeg (fie el,tig<t £ wrs PHONE: 6'a-dd 1-3VF <br /> CONTACT PERSON: Aike ScAry ._r MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ('�a-mss<7 ZIP: 53-303 <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) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): J�e A YF <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $16, 5-97_ <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 d codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work i t to start without a permit;and that the work will be <br /> in accordance with the approved plan. T <br /> APPLICANT'S SIGNATURE: DATE: S/Sd a6 <br /> 31 <br />