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a � <br /> 4 <br /> Total Fee: $ 7'70, 75-' DateReceiv :,5`` S <br /> Entered By: 22140 Permit#: &3 <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 /> THE APPLICANT IS: (circle one) OWNER OR CO 4RACTOR <br /> JOB SITE ADDRESS: V-egpi Rd ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes JZNo 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: Pe P +a-�/ PHONE: (home) <br /> MAI (work) <br /> LINGADDRESS: S-q( filo�p,. S�i`u"^ rd CITY: Oi'a^o ZIP• <br /> CONTRACTOR: G-r uJsi 1 Po PHONE: 73r--s-i-7 <br /> CONTACT PERSON: r(- siMOBILE/PAGER: 6 t2- 96 �7 qY I <br /> MAILING ADDRESS: 41 St`u� d�ti CITY: Ho'-/"^-) ZIP: g 1y-1 <br /> STATE LICENSE: # ?Z c z EXPIRATION DATE: ? - 3t- c-7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP. <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeVAlteration(ie: Siding,Windows) X <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): -r-ca- ,o(F- a—� ow � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ u ' f Y4 o u <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: DATE: <br /> 31 <br />