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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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: laft 0 3 ,�,„,,..„ . t`d . ZIP: 'SS 3 S (_ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yeso 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 /> su icient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: tiAPHONE: (home)7C(6 -0155 <br /> (work) <br /> MAILING ADDRESS: 19a CITY:9rpAL) ZIP: CC 35(. <br /> CONTRACTOR: 171E auk etiewsobe43 e,t, PHONE: b(Z_z5C) -(e C l 4 <br /> CONTACT PERSON: j4 . MOBILE/PAGER: Samar <br /> MAILING ADDRESS: 4.4 S(. . �l CITY:p tem," ZIP: <br /> STATE LICENSE: # Zo5o 44 4 4 EXPIRATION DATE: 3131 O 1 <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): r74.ga. — 1b <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I 'Oki iOO <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 t - :: .•-s p an. <br /> APPLICANT'S SIGNATU':-• DATE: i 4 5-10 L <br /> 31 <br />