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N <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 TRACTOR_-----..„ <br /> JOB SITE ADDRESS: , 0 7 73"-M/4/71e- 04/ Ar ZIP: <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> I J 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/ r"`^ L16-4" S PHONE: (home) <br /> i (work) <br /> MAILING ADDRESS: a 7 7 S.- �.1k 4 ( i k Ar CITY: G erg 0 ZIP: <br /> CONTRACTOR:/ 1 ,00.S revc'1? - PHONE: 763-S 3s---6z26- <br /> CONTACT <br /> "(0226CONTACT PERSON: /p+LA -e,,, MOBILE/PAGER: t/2 - (76 7- Z)V l <br /> MAILING ADDRESS: g%-/ 73'"' Ave CITY: s 1° ZIP: £y 2 Y <br /> STATE LICENSE: # g2 y7 EXPIRATION DATE: 3 -- 3/-° 7 <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): 7 - --Or' ,Ce— IZwF' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> w <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ic700 <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 per •. -; • ork.. .t to start without a permit;and that the work will be <br /> in accordance with the approve. . an. <br /> APPLICANT'S SIGN• TURE: ��,,�,i h DATE: /2 C76--C)' <br /> W <br /> 31 <br />