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Total Fee: $ i o� Date Received: 3/24° <br /> Entered By: Permit#: CTPD <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 4NTRACTOR-2 <br /> JOB SITE ADDRESS: `7/665 2 QST /3.6777Cf/ ,L/) ZIP: 55 3(,_,Y <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes Ft,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: j CA-t- 12-0 k/ - PHONE: (home) 752 47/72-- .7_O 6 7 <br /> (work) <br /> MAILING ADDRESS:L/o t $44"n!Cr! I CITY: G7/�NJ ZIP: S �� y <br /> CONTRACTOR:49 /1"-, /1'/l/7-t Co,V 7 t�UCS/OdU . ,t PHONE: y3 Z ' 7 c� 9 <br /> CONTACT PERSON: /t- MOBILE/PAGER: 6,1 2 2 7 5 27 7 <br /> MAILING ADDRESS:j� C 5 J. E., 1- tCITY:iiij,oN�T/Li5r-ZIP: 6j 5 36 y <br /> STATE LICENSE: # 5 -- EXPIRATION DATE:/41/9%2L:( 2 <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):=T&'9-& ©f f ��c rs 7-7A-J6 /acyl/A6 <br /> //v.57/fLL /4-F u; 7�oG�INc.:� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $5900 <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 /> 4111/ <br /> APPLICANT'S SIGNATURE. DATE: 3/20 6 <br /> 31 <br />