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• <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 one) COWNiIDE0R CONTRACTOR <br /> JOB SITE ADDRESS: ,j6" d4e, A? ' ZIP: <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: Z4/eew 47-.4fp,c'J.4-GO PHONE: (home) 952-1-/75/iZ 7 <br /> `° ',� 44 (work) /GA'7G'/-2.5Y <br /> MAILING ADDRESS: 5 <br /> 1O —1,4 .eS /aleCITY:‘,9097:47 ZIP: . 5 '9/ <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <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) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): /1, Q'1, -' .40,57/4/G /i4i g <br /> STORIES: / SQ.FEET OF EACH FLOOR: 226 6 <br /> NO. OF BEDROOMS: 'g GARAGE STALLS: ATTACHED k DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3SO4-OD <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:f � DATE: 494'Id0 7 <br /> 31 <br />