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LC) <br /> Total Fee: $ Date Received: 8/ <�7 <br /> Entered By: PI) Permit#:F ig;;_=.a y At 1/ 70, !./Z <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 1'Z- 4 ZIP: .j-3 5 <br /> X671/4,-C) <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes g 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: /A/ /) t PHONE: (home) �f '///7 <br /> , (work) <br /> MAILING ADDRESS: /,C. i�ex CITY: (�l-/iZ7- ZIP: .>13-3F/ <br /> CONTRACTOR: /iv74e4_ <br /> zs� / PHONE: 75�J t1///7 <br /> CONTACT PERSON: ../fes/,/ MOBILE/PAGER: 6/Z-,2 <br /> MAILING ADDRESS: G/n;/9/, --EIT --— <br /> ARCHITECT/ENGINEER: /1c6. PHONE: ,c2`.249-///7 <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: May__'— 2 /l.(Air f/ REGISTRATION: # g.// 3 g <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): s- <br /> _ <br /> STORIES: +^-A/ SQ.FEET OF EACH FLOOR: Cr' <br /> - - - - DE'I •ILD --.- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ #,Z5; lri <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 /> f� f <br /> APPLICANT'S SIGNATURE:'s''__' — L DATE: //%d 7 <br /> 31 <br />