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Total Fee: $ ��� ' / Date Receive - 07 <br /> Entered By: ,7Permit#: 10 7Y3 <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) OWN OR CONTRACTOR <br /> JOB SITE ADDRESS: Ile , e- ZIP:S S 5 G` <br /> Will this be a Para a of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ED-Ko_ If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bits service will be required unless applicant demonstrates <br /> sufficient on-site parking is avail ble. Non pd. <br /> ermitted events will not be allowed <br /> NAME OF O ER: c PHONE: (home) <br /> 2-1 <br /> MAILINGADDRESS:3' la CITY• ZIP: Ss�36G/ <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILEXAGER: 9S-Z, <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER:-'.�! �/I�� - PHO_ <br /> MAILING ADDRESS:6-91-? ��. � �� CITY: ZIP: <br /> NAME: REGISTRA ON: # <br /> TYPE OF WORK: New Homel'/ Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) <br /> Any earth movement may require MCC review and permits ! <br /> PROPOSED WORK(describe in detail): '�e �._� • , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: y GARAGE STALLS: ATTACHED 3 DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ """2 C, Oe 0 <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 -itaq�d work is not to st4withoutermit;and thatthe work will be <br /> in accordance with the a roved plan. <br /> APPLICANT'S SIGNATURE.--_ ATE: Z o <br /> 31 <br />