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Y, 01d‘ <br /> ck u_4(c? <br /> . I A <br /> , <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 CONTRACTOR <br /> JOB SITE ADDRESS: 11`1v w <br /> II <br /> OtG) i ZIP: 5-_S-.35- , <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ 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: K&rc 0 Bj^i & PHONE: (home) '6;7 -/73 -6/3 <br /> /� (work) <br /> MAILING ADDRESS: . a`,^-� CITY: vr0 0 ZIP: 5-5-135-1- <br /> CONTRACTOR: <br /> 5 35 1-CONTRACTOR: Ai/4r4 COn 5Ic,c// o"- PHONE: (7j)50:3 '64/0 <br /> CONTACT PERSON: Br.c,„ (- 1�` �,ce/% MOBILE/PAGER:(7b , / ' -/7],z• <br /> MAILING ADDRESS: L,,Zoo 5I., r t Crrc i ,t CITY: g- /, fy CYkl(- ZIP: 55 y1O <br /> STATE LICENSE: # ,R 4)3 5 I 3,2EXIRATION DATE: /3//b r <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): I 6;,,, of r.e"'o c" <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> Q <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ F.2.0- .7 <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 , to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: C� ,/� DATE: 70/ 7 C)7 <br /> 31 <br />