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Total Fee: $ 7 � Date Received: <br /> Entered By: 'l Permit#: <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: //q OaL S-J-,�P�� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No 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: e d-PG( c` ��� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: e Q7�_ CITY: Q�CSho ZIP: <br /> CONTRACTOR: Lak.-e- Coyn'y4lug v-5 PHONE: �(�� - 447K �r'� Z-7 <br /> CONTACT PERSON: MOBILE/PAGER: • Y&cp . O(otl I <br /> MAILING ADDRESS: 33 C 914 S'rt-e2 " CITY: ZIP: -9573'51 <br /> STATE LICENSE: # WC -a63`I 9&-7 9 EXPIRATION DATE: � <br /> ARCHITECT/ENGINEER: r►n -VzDgz C'S PHONE: y 5 2• �l 7 H• �2 �� <br /> MAILING ADDRESS: � !! CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> G� <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(d scribe in detail): <br /> Lk <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 3D ® 04 <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: d y. 0-'-4 Deo <br /> 31 <br />