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• <br /> C-4°1 <br /> Total Fee: $ 304.© Date Received: [p 25 07 <br /> Entered By: I,/ Permit#: A 1 i tl <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 /> -- 1 <br /> THE APPLICANT IS: (circle one) (OWNER OOR CONTRACTOR <br /> JOB SITE ADDRESS: th Jl,. C �� ---Nik7 ZIP: 0/1". 4 <br /> t°4 <br /> Will this be a Par a of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes o 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: tZ � �� PHONE: (home)/e3-z70f Sic/ <br /> (work) `?‘6 3 7,eo J O <br /> MAILING ADDRESS: c1-4 S 'L CO CITY: rt.k 1\ , ZIP: <br /> CONTRACTOR: PHONE: D skiSNC( <br /> CONTACT PERSON: 5 A ,i-- MOBILE/PAGER: <br /> MAILING ADDRESS: Sq {'� CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: (2A6 k pJ,31 � PHONE: ,61- SO DO \(== S <br /> MAILING ADDRESS: N 1, 3r4 S CIT c:IS ZIP: 45-s- <br /> NAME: --R., 41) ketA i S cps 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): CD oeccZ qQg Li�rJ��SQAc� <br /> STORIES: � SQ.FEET OF EACH FLOOR: 677 ":1-- <br /> NO. <br /> - <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I <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 /> Oki <br /> APPLICANTS SIGNATURE: 4 � DATE: 0 <br />