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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informations must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNERCONTRACTOR <br /> JOB SITE ADDRESS: vZ off, S. ofd CtysiA L RAI I IP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes IN 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: I`ka1 ( PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:1 CITY: ZIP: <br /> CONTRACTOR: W•f. S YV1 i 4-4-1 CaJ1/4.83 PHONE:I Sa <br /> CONTACT PERSON: g v 13 MOBILE AGE : C>/a---8 67-3/1 7 <br /> MAILING ADDRESSs'SS eCITY/n%wiin,11-0 ZIP_S ?('y <br /> STATE LICENSE: # 53 o T EXPIRATION DATE: 3 - 3 t - <br /> ARCHITECT/ENGINSER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home 4.:r ....- Alteration (ie: Siding, Windows) <br /> Arty earth movement may require MCWD review and ermits! <br /> PROPOSED WORK(describe in detail): ( dfP 4- !Le C.9•7✓� -� <br /> STORIES: ! SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / Q 0 G O <br /> I hereby apply for a buildinffpermit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conormance 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 <br /> APPLICANT'S SIGNATURE: 1. DATE: —Z'•o 42--- <br /> 31 <br /> 31 <br />