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. <br /> G � lX v' <br /> SC6Total Fee: $ Date Received: /0-30-tel <br /> Entered By: Permit#: A//(p4'/ <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)C_____OWNEROKCONTRACTOR <br /> JOB SITE ADDRESS: . (5,0 (,(J, / t/ # Ug9 ZIP: 33 <br /> j 7�3 2 <br /> �j / e"fi <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes 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: i F�07�66 PHONE: (home) ,5 <br /> (work) <br /> MAILING ADDRESS: f Q. ,ox //3 1 CITY:a),99777 ZIP: . 539/ <br /> CONTRACTOR: 49 :� PHONE: 9'�� �� ��- ///7 <br /> CONTACT PERSON: Mat. g J/9CLN/G/f MOBILE/PAGER: 6//t- A ¢7 ¢79 <br /> MAILING ADDRESS: CITY: ZIP: <br /> ARCHITECT/ENGINEER: �i�25 Gam- PHONE: j ,2 -, ¢9'-/(/7 <br /> MAILING DRESS: ft''2t CI'Y: Zp: <br /> NAME: t "'a L Y, J/�/j /�/� REGISTRATION: # a 38 <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): /904.59Z_ <br /> STORIES: ,2 ( L SQ.FEET OF EACH FLOOR: Ike <br /> D mAChTED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $i6iZ670-j <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 SIGNATURegett/9 ::./( DATE: id9...•/7 <br /> 31 <br />