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� RECEI'�E[� <br /> ` � �,b`� MAR 5 2007 <br /> �,� <br /> C1TY O� ORONO <br /> Total Fee: $ '�7'��BJ�• �� DateReceived• 3 � <br /> Entered By: , � Permit#: ! Q <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 R ONTRACTOR <br /> JOB SITE ADDRESS: �,2�o�/ �`i!t yGvad�t J�-�� 7.Ip: u�S'3 �� <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 reguired unless applicant demortstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER:��1 �i- �4, (7t.y ,Ci���or- PHONE: (home) 9��`93.?- �,30/ <br /> �/ _/�Wo�> G/Z -36 �3��/ <br /> MAILING ADDRESS:/yj j7 /y���1�t1�-/ I�ci•�/• CITY: Z,r�l�C ZIP: ��/ <br /> CONTRACTOR �GZ � /7�, `� �hG • PHONE: �/� '36�`3(// <br /> CONTACT PERSON: O/K �,'�ctl�r MOBILE/PAGER: /2 -36 -3 // <br /> MAILINGADDRESS:ly3/7�l� ;h y2 -W• CITY:Gt�a �. ZIP: �.�'�S3q/ <br /> STATE LICENSE: #ZoS9a a 9 Y EXPIRATION DATE: 3 / O Q' <br /> ARCHITECT/ENGINEER: �a� ; l �� e PHONE: /.Z�.3�6—3�// <br /> MAILING ADDRESS: �h d. �-(� - CITY: � ZIP: SS3g/ <br /> NAME: �o/yr ��'q/�r REGI TR�i ION: # ,2 L S f 7 �/f-�,Si <br /> ���� h'al�.�o�e -71a3-57�.?S�o �El�y, <br /> TYPE OF WORK: New Home �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth move�ent may require MCWD review and jermits! _/ �- <br /> PROPO,s ED WORK describe in detain: � ov P e �� �� " c�c7 �[!C 7`!,�t f'. `���� <br /> -�'urt kd a�c'o� �ot p use, S�e f� c � � � c� a 7�� /�dc� <br /> �a r^a�P � �S P�o`t d � v0/'. ,�?�i S �' �'oc�tic ��aK .' /� �I' .1'/a�/ <br /> STORIES: �_ SQ.FEET OF EACH FLO�: �5�:- � 0 6 S ,,�r�.d."l yj�D vh y rua[P <br /> N O. O F B E D R O O M S: ,�_ G A R A G E S T A L L S: A T T A C H E D� D E TACHED_ + <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 378, DOO <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 st rt t a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 1'�OS <br /> 31 <br />