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� I <br /> Total Fee: $ Date Received: `L� cy-, <br /> Entered By: Permit#: Ltq�I h <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: q0-0 <�'r ZIP: 9_(�o <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes PNo 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 d. <br /> ermitted events will not be allowed. <br /> NAME OF OWNER: W I L-U f RMW WIN 67&f2_0 PHONE: (home) 9S2- 24/9- Z<d <br /> I / (work) !�t 2 `nom S` $3 <br /> MAILING ADDRESS: `fv�� 064 K S'7 CITY: c. a6 r,/0 ZIP: �53SCP <br /> CONTRACTOR: nW&JEL PHONE: <br /> CONTACT PERSON: <_441yV S 14-Y3o✓E MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 /> P�r—vr o v � ST'YLUC-TU t2c� � c <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: (U <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> C^ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 300 <br /> I hereby apply for a building permit and 1 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 t!start with ut a permit;and that the work will be <br /> in accordance with the approved plan. <br /> I <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />