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Total Fee: $ Of r 17 Date Received: g/avY <br /> Entered By: /A Permit#: c7p7Z98 40/(p <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 O ' CONTRACTOR <br /> JOB SITE ADDRESS: ZO ct_yrEstip fi'J/ Rb ZIP: <br /> Will this besLTarade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes ix 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: <br /> ••••••"" <br /> l.brAntv S PHONE: (home) <br /> (work)S/L—aaO1—;I <br /> MAILING ADDRESS: 2..0%-14.4.4rItilittl1S gA CITY: 00.-0111 ZIP: <br /> CONTRACTOR: —Dye A v<-14 tjrsl{"ZS PHONE: /L- 3--26-91r- <br /> CONTACT <br /> 2$WCONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: Mr Co j2n Co CITY:y,,prpeN ZIP: _157 OF <br /> STATE LICENSE: # Z02. 3 3 71Y 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): <br /> &_ts`r*t4G h()MIE L-' 7] <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z p pap , Ov <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 . . <br /> APPLICANT'S SIGNATURE• „„�j ✓/� DATE: de.•v?pl• 0( <br /> 40”" <br /> 31 <br />