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V� <br /> t � <br /> . � <br /> 'Total Fee: $ Q � � Date Received: l�a�6-O� <br /> ]Entered By: Permit#: iq/07,Z.5^ <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) WNE �OR CONTRACTOR <br /> JOB SITE ADDRESS: I ��'� P�l I I yt(�_S I�� ZIP: � � �5 b <br /> Wili this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � �10 If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired untess applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: C �r"�y r«xr� �J o k�.,���� PHONE: (home) `15 Z-Z vu --�t t c v <br /> (W�� �a- �7� �!y`f�o -� <br /> MAILING ADDRESS: t 2�� P�����af Dr. CITY: U���►� ZIP: S 5 3 5�. <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: 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) X <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: r�.���v I K i 4-c,��., - �z���.� � <<-����c ts <br /> e�,�<kr_�� � - - �.,ce„��1;s� v,3d pn.�+-,-�, <br /> � <br /> STORIES: I +�t�� +�=.�+-- SQ.FEET OF EACH FLOOR: �,3�=> <br /> NO. OF BEDROOMS: S' GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ 4�� ���' <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 /> � <br /> APPLICANT'S SIGNATURE: "��� DATE: �+2�'�� � <br /> 31 <br />