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Total Fee: c)/. Date Received: / 0 <br /> Entered By: Permit#:. , D♦ - <br /> - /4'33? <br /> CITY OF ORONO - BUILDING PERMIT AP 'LICATION <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, O TRACTOR <br /> JOB SITE ADDRESS: D 00 1,1t!I I Q K V t W VO ZIP: GG ?J�'� <br /> Will this be K"arade 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. l� <br /> NAME OF OWNER: r6z 4 M i awl �Q(thM PHONE: (home)61.c )413 <br /> (work) <br /> MAILING ADDRESS: "t O 011011/ VI V ITY: O VD hI Q ZIP: (p <br /> CONTRACTOR: -01'N�b�G PHONE: (G s 7f)/t-1 -I l`a <br /> CONTACT PERSON: --1-r I MOBILE/PAGER: <br /> MAILING ADDRESS: p 0 Y7�'X 2jc ' CITY: PAAOI(Ptd,l17)ZIP: 5.-c55 -3-1 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: A 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): Pt' ' r?I l/ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /0 i err-) <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: A,QU ' TE: —0/ (j <br /> 31 <br />