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, b(51 -r ,'0( /a&714 % 1/ t/i <br /> S T 5 t-4 t��r7 c 71- 7Tv <br /> Total Fee: $ F. Date Received: $l 6 c g <br /> Entered By: 04.a_ Permit#: N)0/5.- <br /> CITY <br /> )05-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: �G�A a / ZIP: \5-3-3C V <br /> Will this be a ;arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes irti ► • 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: 4 2 - 2 r176a--cCo PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: % T 4)'/ef�.,-A.-/'PAW <br /> W CITY: .4ZIP: SS-367 <br /> CONTRACTOR: s . c - PHONE: S%° <br /> CONTACT PERSO s j.yrs MOBILE/PAGER: _5W-ine <br /> MAILING ADDRESS: 3s off. CITY: Bdrvl - ZIP: T?7 <br /> STATE LICENSE: # (.. 5">"*" f 7 EXPIRATION DATE: 8,31/6 9 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: <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): ( I ld-f- � ,2 oo� <br /> Y ' ' T s}u <br /> STORIES: / SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ OZT�"— <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: DATE: ��- .�7 <br /> 31 <br />