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L <br /> rig <br /> Total Fee: $ )7/. 9 Date Received: /15/05 <br /> Entered By: Permit#: OjOUS- CSO/ 97/ <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) OWNEj OR CONTRACTOR <br /> JOB SITE ADDRESS: ( O b 9 w , ZIP: 5-C"'"'S(4 <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: Cet( <br /> vt ePHONE: (42444e) 37- Z 3 S <br /> / 1 (work) <br /> MAILING ADDRESS: ( 8 . blµt /2.€J CITY: 1,11 Ge ZIP: ,5-5 3 .5 47 <br /> CONTRACTOR: ,t/hi 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 andermits! <br /> PROPOSED WORK(describe in detail): 12:3C ((� w S'f'o/`0.q G (s(2 e � <br /> wilt ?O(,l,f l � r06'��.tn,5 J <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ✓ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3, D d <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: lila, DATE:1�g J f/ <br /> 31 <br />