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Total Fee: $ Date Received: -��7 O f <br /> Entered By: Permit#• ,(� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informatiom m�st be submitted in full before plan review will be started. <br /> (please print a11 infornration) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOBSITEADDRESS: /5'� �onq �a.�'c.,,g/� ZIP: 5S3S(� <br /> Will this be a Parade of Homes,Remodelers 5howcase 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 /> su„�icient on-site parking is available. Non permitted events will not be allowecl <br /> NAME OF OWNER: , <br /> �lll'lPa �e�"KxT PHONE: (home) �- 57/- y�/y� <br /> MAILING ADDRESS: /SaS L.�Y.�a�c ,(�lK� CITY: o (W ZIP: 5S3S6�a4-� <br /> CONTRACTOR: _ �ome�uw��a� /fl'in�resm�w PHONE: 763--��f�69S <br /> CONTACTPERSON: Td�/j1u.lt�elv// MOBILE/PAGER: ����o�j/p9 <br /> MAILING ADDRESS: 73��,lr� t1.,4�t(a, CITY:6rao�,���ryv� ZIP: $'S 3�' <br /> STATE LICENSE: #�QP 3aS3 y EXPIRATION DATE: �l3/�9 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CTTy; �p: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and p�ts! <br /> PROPOSED WORK(describe in detain: /�.� �����t ���(/������ <br /> �6.eG,�a�/���0 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIlVIATED CONSTRUCTION VALUATION(eacluding land): $ ��QO � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accura.te; <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 perrnit 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: J�"fl 7"r�� <br /> 31 <br />