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® �< `+-o -7. 31- 67 <br /> (, + (Ct Al Yeti- aeV <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 /> THE APPLICANT IS: (circle on,f1OWNER I R CONTRACTOR <br /> JOB SITE ADDRESS: 7 Ge .w ,d ZIP: 53)7 ? <br /> Will this be a P-arade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes KNo 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: &1C1 -/le7 PHONE: (home) <br /> / / (work) <br /> MAILING ADDRESS: WrO� r- 1 jA /< CITY: f4le ect,ti ZIP:,7-5-.1)-7 <br /> CONTRACTOR: a4 Pr' PHONE: 002-Y7-75Y7 <br /> CONTACT PERSON: MOBILE/PAGER: r3,2-.2.20 Qe27a <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) X <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): ,S_u/ ,u� <br /> -�cr Lv the-t\ >,),j Cee.GAi r% <br /> STORIES: SQ.FEET OF EACH FLOOR: 9)7) <br /> NO. OF BEDROOMS: 02 GARAGE STALLS: ATTACHED DETACHED>< <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (200 <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 SIGNATUREi / DATE: .7/ G' <br /> 31 <br />