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p erM C./ea <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: A/Qy(I V <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 ORCONTRACTO�- <br /> JOB SITE ADDRESS: 6 7 `J ,f yid/�-`" /ZL ZIP: ;5;�j <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes NI No ifyes, 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 cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: /6-/'/�,e1� 6� '� A PHONE: (home) 9 <br /> G) , (work)i/2 7Q`�' elf 7 <br /> MAILING ADDRESS: 77931‘,-.A.,J(74-41Ty: C ' 7 ZIP: 33 7 <br /> CONTRACTOR: 4661,/%, .,"<i) 4ifZ. �. 4/�=-5 e_ PHONE: OW 7/ /Q/.5 <br /> CONTACT PERSON: „ , &f iCei MOBILE/PAGER: <br /> MAILING ADDRESS: 7A f / /, alit _A ; i; "SCITY: /6e/75;64/ ZIP: Si/z 3 <br /> STATE LICENSE: # t EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home AdditionK----- 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): bi <br /> STORIES: SQ.FEET OF EACH FLOOR: / , x �� ! <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED___4,--- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a?g 2x r e et2X- <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 •i the ordinances and codes of the City and with the State Building <br /> Code; that I understand this is not a pi mit•,nd work is not to start without a permit;and that the work will be <br /> in accordance with the approved pla ( (X) <br /> APPLICANT'S SIGNATURE: I , ,,l-,i'� DATE: /G/$� C1f� <br /> 31 <br />