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Total Fee: / Date Received: <br /> Entered By: Permit#: <br /> Y- 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 O CONTRACTOR <br /> JOB SITE ADDRESS: Z �s lnj44AS-OWN 10 ZIP: <br /> Will this be grade of�Iomes,Rgmodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yg, 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 /> OF OWNER: r+ 5 y�L- O Q PHONE: (home) 2- <br /> NAME 3- <br /> (work) / <br /> MAILINGADDRESJ: _�� WPOTAT0WN %CITY: b?4tAO ZIP: 5 S (� <br /> CONTRACTOR: Jo*�.I }'� t OG PHONE: 33 9� <br /> CONTACT PERS MOBILE/PAGER: t t <br /> MAILING ADDRE6S: �2 19CX 7,4Q2_ CITY: A;RLL ZIP: <br /> STATE LICENSE: /3 G° �ZR3 3 EXPIRATION DATE: 3 - <br /> ARCHITECT/ENGINEER: wpaR6 Ilyun PHONE: 219 -(,qZ- <br /> MAILINGADDRESS: 'di% 77D CITY: Ct-*ySSLA'I4E ZIP: 5'4p 2- <br /> NAME: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New�ome Addition � Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> Any 4arth movement may require MCWD review and permits! <br /> PROPOSED RK(desMbe in detail): 2 5�12� A-(��/�"/[ f ��8 STor2A-GE- <br /> AA5M� FUC ND �. FOI¢ao <br /> STORIES: .Z J SQ.FEET OF EACH FLOOR: 8 <br /> NO. OF BED t0 S: �� GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z5d 1 od o 04 <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 th#s is not a permit and work is not t start without a permit;and that the work will be <br /> in accordance with the approved pl <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />