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Total Fee: Date Received: 4L1161& <br /> Entered By: )-VL Permit#: QC -7 _ <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) OWNE CONTRACTOR <br /> JOB SITE ADDRESS: 1 fit' l" �"c— W ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes INNo Ifyes, 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: S% " t'�"` �10�2 L��� PHONE: (home)3Z°-V 7L <br /> (work) I Z—751' 5(c z <br /> MAILING ADDRESS: i�' `' � �` CITY: ZIP: 6;_5-36It <br /> CONTRACTOR: f PHONE: 3 7-0 -q 7 cj�s•� <br /> CONTACT PERSON: tiltveto r1-A_ MOBILE/PAGER: <br /> MAILING ADDRESS: It3CITY: O'""'L' ZIP: ss36 4 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: 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): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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. C /� <br /> APPLICANT'S SIGNATURE: J � G `-� DATE: y^r "Q6 <br /> 31 <br />