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Total Fee: $ /�I /' �U Date Received: ' c `o <br /> Entered By: Permit#: r-,?O !! ('Q/ ,•7 <br /> 74 / A.?\54f <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: /0 q9 tL).L ixL ZIP: 5-5,533 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes SJ N I 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: Cy 611,cGU �769d0t44 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: tog g( (oi ) SALte,s0. CITY: di(mp ZIP: S—S'3 2,3 <br /> CONTRACTOR: a�P a : c.� �L, PHONE: zz,F-6 6 0 <br /> CONTACT PERSON: fie... MOBILE/PAGER: <br /> MAILING ADDRESS:6413e,13A iU�ilky�. 5 5, CITY:134Cm J1ij . ZIP:$5: 23 <br /> STATE LICENSE: # EXPIRATION DATE: <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 requ re MCWD review and permits! <br /> PROPOSED WORK(describe in detail): ` ) e <br /> xaki <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> aD <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 500u <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: <br /> 31 <br />