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' .lig big( <br /> Total Fee: S ( 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 114� ZIP: f' 3 <br /> Will this b 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: GA1� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: '5,65R50, <br /> CONTRACTOR: PHONE: / adT <br /> CONTACT PERSON: MOBILE/PAGER: P <br /> MAILING ADDRESS: W j1 L CITY: ' ZIP: <br /> STATE LICENSE: # EXPIRATIONDAM. <br /> 1"iRC111- t /ENGINEER: MOT-04 t*LD094LD PHONE: uj2,.82,7 .7b25 <br /> MAILING ADDRESS: TASSeT GeeeV_ 16%NwEss cra. CITY: 14wwt rpeus ZIP: <br /> NAME: wt 13. S"S-i- Svrrf- too REGISTRATION: # Z-&4-16 <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) ZS N I n <br /> Any earth movement may require MCWD review and permits.-- <br /> PROPOSED <br /> ermits.PROPOSED WORK(describe in detail): -e, '1 n r (' o <br /> 2t�td. <br /> uONE.% ve •• <br /> STORIES: SQ.FEET OF EACH FLOOR: a 40 , U <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED bETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S ' <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: <br /> 31 <br />