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Total Fee: $ Date Received: (p- /c'j-�oci(O <br /> Entered By: ‘1")))72_ Permit#: '9/ )(>2— <br /> CITY <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 OROLVTRACTOO <br /> JOB SITE ADDRESS: /Q 0 ( tit, Si ZIP: 5-5-3‘9 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> II Yes n 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: $k q u/ PHONE: (home) <br /> 5uH(0 (work) <br /> MAILING ADDRESS: %1) / Ciork C'cekV/. CITY: Chaither 55en ZIP: 5`5`3) 7 <br /> CONTRACTOR: y I O Spray Inc PHONE: 95-Z" 9(/3-13 7 <br /> CONTACT PERSON: 6 rc., 11U ,,r MOBILE/PAGER: 25)._-06l to <br /> MAILING ADDRESS: 7q ).. 5` 5 i-c,,e (,ee �i5ar <br /> ,E TY: (liGn1itissrn ZIP: 5-5-3/7 <br /> STATE LICENSE: # QC- 20 2 3)_0>3 EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home X 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): 13 a 4 e 4- <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: -A, tI U 9 <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATTACHED (l74- DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l j OC <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: 4{.-- -44.44(// DATE: t/7 <br /> e a606 <br /> 31 <br />