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Total Fee: $ Date Received: 401zlo <br /> Entered By: 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 ONTRACTOR <br /> JOB SITE ADDRESS: J (9Id ge&A � ' ZIP: q1 <br /> Will this be ade of Homes,Remodelers Showcase Home or other Display Home? <br /> F_] Yes o 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: V A G(1 0(2 O [M,94 PHONE: (home) <br /> II r b� <br /> MAILING ADDRESS: 5D O►Gt �°�G�I I�'1 CITY: 0 (work) <br /> ZIP: <br /> I uu <br /> CONTRACTOR: OV P P�s t nl' PHONE: <br /> CONTACT PERSON: MOBILE AGER: <br /> MAILING ADDRESS: h CITY E .&I a -P ZIP: J d <br /> STATE LICENSE: # 3 3 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 revi w and permits! <br /> PROPOSED WORK(describe in detail): � a <br /> � meso /* �aft1 . <br /> STORIES: SQ.FEET OF EACH FLOOR: 4d `Q X6 I l ry(I'✓)(,�l/� I I P764 oe <br /> 7 4oe <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> nx� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S��� _ <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 pl J <br /> APPLICANT'S SIGNATURE: DATE: �/ /Ve <br /> 31 <br />