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f <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER nnOR ONTRACTOR <br /> JOB SITE ADDRESS: `�D � � � lam,�✓ ZIP: <br /> Will this be 9rNo <br /> ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 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 ond. <br /> r-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: R dln D V Was PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 302-S-- ✓aTj9 ,, CITY: ZIP: <br /> CONTRACTOR: A4-M t 0filhc Svc"a. S�S PHONE: ?G3 qua—fita� <br /> CONTACT PERSON: NL MOBILE/PAGER: Z G 3 asp <br /> MAILINGADDRESS: 57o6l C4 Rd 3o fff CITY: ",to ZIP: Sg2 <br /> STATE LICENSE: # 20 a S? ll EXPIRATION DATE: 3-3 t -2ev7 <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) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): _ L c,,-r ofd' �yW s� !c)_es <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 9 SM DU <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 SIGNATURE: Jkkrw, DATE: 1-10 `Zot77 <br /> 31 <br />