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Total Fee: $ Date Received: <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 /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> �q <br /> JOB SITE ADDRESS: D Z S Q I(J� C( \J S th I 127"1P ZIP: 553 °1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes al 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. No1n�,permitted events will not be allowed. <br /> NAME OF OWNER:lei 1.G� Cot` S1"£ SUV) PHONE: (home) <br /> �1 (work) (D l L' 3(o b'S 1 LF to <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: SQ f(y► I,LL PHONE: G151 ` L I L D" qg 1 <br /> CONTACT PERSON: S i V D Ul 1 MOBILEfj AGER: _ <br /> MAILING ADDRESS: 'Q 1\1�G <br /> U bX (P(P rb CITY:i"f twf Ul W ZIP:�tj <br /> STATE LICENSE: # 2 4- L C,'-t EXPIRATION DATE: '243) 1 01 <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 movemeplt ,m. ay re it MCWD review and permits! <br /> PROPOSED WORK(describe in detail): +t4 f '6' '`j { - I fD-f- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 25, 1 D 0, 0 0 <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: bin.S U DATE: S (p 1 b <br /> 31 <br />