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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: RC L 44 fl,?y '11:\ <br /> \ ,4 6-vi ZIP: 553 3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes ❑ 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: ,..5:71"-'?-'e�.A r./t-/ u r's -4 PHONE: (home) C/A— -q(s)— /0 SC <br /> (work) S /ter.--e <br /> MAILING ADDRESS: (0 I1h4y-Q 7Y---e CITY: 0 X 0/C)0ZIP: S -3 / <br /> CONTRACTOR: v - ,x-9(3 ti' / e � 'T/J PHONE: `1S,2- .�.5r ,-goof <br /> CONTACT PERSON: J S S ✓ /Lug-+cf MOBILE/PAGER: 9'52--7.9--)..-•? ( <br /> MAILING ADDRESS: ;2'170 .Q Zl-sp,-t /4v_e CITY: SI, 4u,:I10,4IP: g-5 3 114, <br /> STATE LICENSE: # / 7Z(0 EXPIRATION DATE: �'j— f- Ci g <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): KR f�'ov I FA /k rc 1 c.aA <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> acs <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .5`� a o r---- <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 /> � I <br /> APPLICANT'S SIGNATURE: DATE: d o 15 © 7 <br /> 31 <br />