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Total Fee: $ L� ( `, U'Cl <br /> ' Date Received: /-.2g 7 <br /> Entered By: ' %��y- Permit#: A/o 73/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> t; <br /> t`` 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 /> � .,�-t'yr ., ?, �t f � � �`1 <br /> JOB SITE ADDRESS: / P) �n 11, j ZIP: eLJt <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> EYes 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: \ NA6p1•4 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: (o Ln �V0•D!Ni7t3� .CITY: \..tL. ZIP: 4- 37-2___ <br /> CONTRACTOR: k Q. PHONE: q�,1Z-7g -Zk <br /> CONTACT PERSON: 614-0- MOBILE/PAGER: (,IZ'"LeQI-S9(.oC- <br /> MAILING ADDRESS: /5'� zeo , CITY: /ice Z P: J • <br /> STATE LICENSE: # Z49 to EXPIRATION DATE: 7 /DIwC.o <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): -3 A I.\ Oc,I.MI✓ ei1 <br /> STORIES: SQ.FEET OF EACH FLOOR: ni' - (9l,t /918 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED 3 • DE ACHED_ <br /> ce7 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -710 • — <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: . ,' L DATE: [ [� (: <br /> ill! <br />